Individual provider · NPI-1

Dr. Sophia Renee Anderson, MD

Plastic Surgery · Indianapolis, IN

NPI number1891622692
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1891622692
Entity type
Individual (NPI-1)
Name
Dr. Sophia Renee Anderson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 6, 2026
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery208200000XINYes

Practice location

550 University Blvd
Indianapolis, IN 46202-5149

Phone 707-416-3766

Mailing address

875 Meadowridge Dr
Fairfield, CA 94534-6623

Phone 707-416-3766

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