Doctor Name: | DR. TINA M HARRIS |
NPI Number: | 1932142387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01054487 |
Business Practice Address: | 714 N Senate Ave Ste Ef205 Indianapolis, IN - 462023763 |
Business Phone Number: | 3177156402 |
Business Fax Number: | 3177156415 |
Mailing Address: | 714 N Senate Ave, Ste Ef205 INDIANAPOLIS |
State: | IN |
Postal Code: | 462023763 |
Phone Number: | 3177156402 |
Fax Number: | 3177156415 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 10/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 01054487 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |