Provider Demographics
NPI:1407169030
Name:GEIST CENTER FOR ALLERGY, ASTHMA & IMMUNOLOGY, PC
Entity Type:Organization
Organization Name:GEIST CENTER FOR ALLERGY, ASTHMA & IMMUNOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LUISA PILAR
Authorized Official - Middle Name:D
Authorized Official - Last Name:ERMITANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-829-5440
Mailing Address - Street 1:8150 OAKLANDON RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46236-9525
Mailing Address - Country:US
Mailing Address - Phone:317-826-5440
Mailing Address - Fax:317-826-5463
Practice Address - Street 1:8150 OAKLANDON RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-9525
Practice Address - Country:US
Practice Address - Phone:317-826-5440
Practice Address - Fax:317-826-5463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-25
Last Update Date:2010-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty