Georgia K Dorulla, MD | |
1500 Albany St, Suite 906, Beech Grove, IN 46107-1557 | |
(317) 787-3296 | |
(317) 783-4107 |
Full Name | Georgia K Dorulla |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 1500 Albany St, Beech Grove, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700870722 | NPI | - | NPPES |
P00032566 | Other | RAILROAD MEDICARE | |
P00408569 | Other | RAILROAD MEDICARE | |
P00033126 | Other | RAILROAD MEDICARE | |
P00033113 | Other | RAILROAD MEDICARE | |
P00033114 | Other | RAILROAD MEDICARE | |
P00032765 | Other | RAILROAD MEDICARE | |
P00033093 | Other | RAILROAD MEDICARE | |
000000109950 | Other | IN | ANTHEM |
P00032884 | Other | RAILROAD MEDICARE | |
P00032561 | Other | RAILROAD MEDICARE | |
P00032996 | Other | RAILROAD MEDICARE | |
P00032995 | Other | RAILROAD MEDICARE | |
P00033075 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 1042298 (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Georgia K Dorulla, MD 1500 Albany St, Suite 906, Beech Grove, IN 46107-1557 Ph: (317) 787-3296 | Georgia K Dorulla, MD 1500 Albany St, Suite 906, Beech Grove, IN 46107-1557 Ph: (317) 787-3296 |