Provider Demographics
NPI:1316384225
Name:AGUIRRE, REBECCA SCHNEIDER (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:SCHNEIDER
Last Name:AGUIRRE
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:705 RILEY HOSPITAL DR RM 5867
Mailing Address - Street 2:INTERNAL MEDICINE AND PEDIATRICS RESIDENCY PROGRAM
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5109
Mailing Address - Country:US
Mailing Address - Phone:317-944-4034
Mailing Address - Fax:317-944-1476
Practice Address - Street 1:705 RILEY HOSPITAL DR RM 5867
Practice Address - Street 2:INTERNAL MEDICINE AND PEDIATRICS RESIDENCY PROGRAM
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-944-4034
Practice Address - Fax:317-944-1476
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01078667A207RE0101X, 207R00000X, 208000000X, 2080P0205X
IN11017154A390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program