Mazda, Monica E

Mazda, Monica E is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 220 , Indianapolis IN 46219-3046. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Mazda, Monica E can be contacted via phone (317) 716-5600.

Contact Information

Primary practice address
1400 N Ritter Ave Ste 220 Indianapolis IN 46219-3046
Phone: (317) 716-5600
Fax: (317) 716-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 01074199A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01074199A Indiana

Profile Details

NPI number 1770718116
LBN Legal business name Mazda, Monica E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2009
Last updated Mar 23rd, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770718116 NPPES
Indiana MEDICAID 201109640

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