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Contact Information

TINA M HARRIS, MD
714 N SENATE AVE
STE EF205
INDIANAPOLIS, IN46202-3763
 Phone: 317-715-6402
 Fax: 317-715-6415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for TINA M HARRIS · (Female)

NPI # 1932142387
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 02/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01054487
  • IN Medicaid 200351230
  • IN Other P00176959 RAILROAD MEDICARE
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL - (Acute Care)
    2401 UNIVERSITY AVE
    MUNCIE, IN 47303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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