Healthcare Provider Details

I. General information

NPI: 1184310112
Provider Name (Legal Business Name): TAJALA AMAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8414 NAAB ROAD SUITE 100
INDIANAPOLIS IN
46260
US

IV. Provider business mailing address

8414 NAAB ROAD
INDIANAPOLIS IN
46260
US

V. Phone/Fax

Practice location:
  • Phone: 317-338-7510
  • Fax:
Mailing address:
  • Phone: 317-338-7510
  • Fax: 317-338-7539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01100641A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: