De La Cruz, Priscilla M

De La Cruz, Priscilla M is an individual health care provider with primary practice located at 1120 W Michigan Street Gatch Hall Cl 285, Indianapolis IN 46202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. De La Cruz, Priscilla M can be contacted via phone (317) 278-0042.

Contact Information

Primary practice address
1120 W Michigan Street Gatch Hall Cl 285 Indianapolis IN 46202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01083580A Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD2024-0300 New Mexico
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01083580A Indiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD2024-0300 New Mexico

Profile Details

NPI number 1366977357
LBN Legal business name De La Cruz, Priscilla M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Apr 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366977357 NPPES
Indiana MEDICAID 300037383
Indiana Other 267030312

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