Healthcare Provider Details

I. General information

NPI: 1801012133
Provider Name (Legal Business Name): DENISA XHANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CAPITOL AVE NOYES PAVILION E-140
INDIANAPOLIS IN
46202-1218
US

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-8776
  • Fax: 317-963-5285
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01063577A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: