Basic Information
Provider Information
NPI: 1023202470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILODIA
FirstName: ALOK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9011 N MERIDIAN ST STE 225
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462605365
CountryCode: US
TelephoneNumber: 3175744747
FaxNumber: 3175744737
Practice Location
Address1: 2705 S BERKLEY RD STE 2A
Address2:  
City: KOKOMO
State: IN
PostalCode: 469028007
CountryCode: US
TelephoneNumber: 7654531205
FaxNumber: 7654536889
Other Information
ProviderEnumerationDate: 08/29/2007
LastUpdateDate: 12/12/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X01076748AINY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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