| Doctor Name: | GEORGIA K DORULLA |
| NPI Number: | 1700870722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 1042298 |
| Business Practice Address: | 1500 Albany St Suite 906 Beech Grove, IN - 461071557 |
| Business Phone Number: | 3177873296 |
| Business Fax Number: | 3177834107 |
| Mailing Address: | 1500 Albany St, Suite 906 BEECH GROVE |
| State: | IN |
| Postal Code: | 461071557 |
| Phone Number: | 3177873296 |
| Fax Number: | 3177834107 |
| NPI Enumeration Date: | 09/06/2005 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 1042298 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |