MARTHA ANNA CANCILLA

INDIANAPOLIS, IN
NPI1013537067
Former NameMARTHA ANNA CHODABA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  01089881A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-20
Last Update Date2024-04-26
Business Address
MARTHA ANNA CANCILLA MD
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686
Mailing Address
MARTHA ANNA CANCILLA MD
1120 W MICHIGAN ST # CL642
INDIANAPOLIS, IN 46202-5209
Phone number: 317-278-2686