MEDICARE: INNA AROUTIOUNOVA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	01056223A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01424282	OTHER	IN	RAIL ROAD
2	000000748888	OTHER	IN	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174523351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INNA AROUTIOUNOVA M.D.

Provider Business Mailing Address
First Line	:	6626 E 75TH ST
Second Line	:	STE 500
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2805
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3660 GUION RD
Second Line	:	STE 224
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46222-1697
Country	:	US
Telephone Number	:	317-920-3000
Fax Number	:	317-613-3065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	04/14/2015

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Directions to “ INNA AROUTIOUNOVA M.D.” Practice Location

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