TENDEUKAI RATIDZO WARREN

INDIANAPOLIS, IN
NPI1134562952
Former NameTENDEUKAI RATIDZO HUNGWE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IN  01075790A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11017207A)
Enumeration Date2013-04-10
Last Update Date2016-12-02
Business Address
-- TENDEUKAI RATIDZO WARREN M.D.
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-3886
Mailing Address
-- TENDEUKAI RATIDZO WARREN M.D.
250 N SHADELAND AVE SUITE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number: 317-962-3886