Provider Demographics
NPI:1083820286
Name:UNCHESELU, DONA M (MD)
Entity Type:Individual
Prefix:DR
First Name:DONA
Middle Name:M
Last Name:UNCHESELU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11109 PARKVIEW PLAZA DR
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46845-1701
Practice Address - Country:US
Practice Address - Phone:260-266-2500
Practice Address - Fax:260-266-2514
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIAH4337526-443207Q00000X
IN01077591A207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine