Anoush Jidarian, MD
Internal Medicine, Hospice and Palliative Medicine in Avon, IN. Individual provider (NPI-1).
NPI number1861655441
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1861655441
- Entity type
- Individual (NPI-1)
- Name
- Anoush Jidarian
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2008
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 01075161A | IN | Yes |
| 208600000X | Surgery | 01075161A | IN | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 65129 | GA | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 01075161A | IN |
Practice location
1111 Ronald Reagan PkwyAvon, IN 46123-7085
Phone 317-962-3400 · Fax 317-963-5446
Mailing address
1111 Ronald Reagan PkwyAvon, IN 46123-7085
Other practice locations
720 Eskenazi Ave Ste F2-600
Indianapolis, IN 46202-5187
Indianapolis, IN 46202-5187
Phone 317-880-6584
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Indianapolis, IN 46202-1239
Phone 888-484-3258
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