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Contact Information

TANISHA L SMITH, DPM
5926 CRAWFORDSVILLE RD UNIT B
INDIANAPOLIS, IN46224-3722
 Phone: 317-653-2730
 Fax: 317-321-1935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TANISHA L SMITH · (Female)

NPI # 1316264187
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/03/2010
Last updated 06/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO 3402
  • IN License # 07001108A
Hospital affiliation(s) Not Available
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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