Harris, Tina M
Harris, Tina M is an individual health care provider with primary practice located at 714 N Senate Ave Ste Ef205, Indianapolis IN 46202-3763. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Harris, Tina M can be contacted via phone (317) 715-6402.Contact Information
Primary practice address
714 N Senate Ave Ste Ef205
Indianapolis IN 46202-3763
Phone: (317) 715-6402
Fax: (317) 715-6415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 01054487 | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01054487 | Indiana |
Profile Details
| NPI number | 1932142387 |
|---|---|
| LBN Legal business name | Harris, Tina M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Feb 1st, 2021 - about 3 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932142387 | NPPES |
| Indiana | MEDICAID | 200351230 | |
| Indiana | Other | P00176959 |
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