Provider Demographics
NPI:1033161815
Name:ADINAMIS, ANN HELEN (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:HELEN
Last Name:ADINAMIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WOOD CT
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-2026
Mailing Address - Country:US
Mailing Address - Phone:317-753-2330
Mailing Address - Fax:317-735-9638
Practice Address - Street 1:800 WOOD CT
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-2026
Practice Address - Country:US
Practice Address - Phone:317-753-2330
Practice Address - Fax:317-735-9638
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038511A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000189075OtherBCBS
040922000OtherMAGELLAN
IN100468910Medicaid
E95801Medicare UPIN