Healthcare Provider Details
I. General information
NPI: 1891283792
Provider Name (Legal Business Name): HANNAH MICHELLE DELUNA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/25/2018
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
705 RILEY HOSPITAL DR RM 5867
INDIANAPOLIS IN
46202
US
IV. Provider business mailing address
250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US
V. Phone/Fax
- Phone: 317-944-4034
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 02006370A |
| License Number State | IN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 02006370A |
| License Number State | IN |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207PP0204X |
| Taxonomy | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| License Number | 02006370A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: