Provider Demographics
NPI:1730676248
Name:FERRERA, ALESSANDRA GIANNINI (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALESSANDRA
Middle Name:GIANNINI
Last Name:FERRERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALESSANDRA
Other - Middle Name:
Other - Last Name:GIANNINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6608 RESERVE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-1887
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:INDIANA UNIVERSITY SCHOOL OF MEDICINE
Practice Address - Street 2:340 W 10TH ST SUITE 6200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202
Practice Address - Country:US
Practice Address - Phone:317-274-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN390200000X
IN01082891A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300014847Medicaid