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NPI Code Detail

MEDICARE: DR. NATASCIA VERONICA BORSELLINO MD

MEDICARE: DR. NATASCIA VERONICA BORSELLINO MD
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
1207Q00000XFamily Medicine Physician01084661AIN
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528552965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATASCIA VERONICA BORSELLINO MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6820 PARKDALE PL STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-4699
Country : US
Telephone Number : 317-297-7773
Fax Number : 317-968-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 03/17/2026

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Directions to “ DR. NATASCIA VERONICA BORSELLINO MD” Practice Location

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