Provider Demographics
NPI:1538133269
Name:PAPARO, GEETHA P (MD)
Entity Type:Individual
Prefix:DR
First Name:GEETHA
Middle Name:P
Last Name:PAPARO
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 1:11109 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 1:1270 E STATE ROAD 205 STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-8506
Practice Address - Country:US
Practice Address - Phone:260-248-9890
Practice Address - Fax:260-248-9895
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01067054A207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019229880003Medicaid
PA232359401OtherGREAT VALLEY HEALTH
INP00818285OtherRAILROAD MEDICARE
IN000000644765OtherANTHEM
PA0019229880004Medicaid
IN200971630Medicaid
IN070860F2Medicare PIN
INP00818285OtherRAILROAD MEDICARE
PA232359401OtherGREAT VALLEY HEALTH