Provider Demographics
NPI:1295735256
Name:BOYER, SOHEILA (DO)
Entity type:Individual
Prefix:
First Name:SOHEILA
Middle Name:
Last Name:BOYER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SOHEILA
Other - Middle Name:
Other - Last Name:BORHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:STE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:533 E COUNTY LINE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1048
Practice Address - Country:US
Practice Address - Phone:317-497-6626
Practice Address - Fax:317-887-4691
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002111A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000229536OtherANTHEM
IN0007604002OtherAETNA
INP01588219OtherRR MEDICARE
IN200231410Medicaid
INP00109135OtherRAILROAD MEDICARE
IN200231410Medicaid
INP00109135OtherRAILROAD MEDICARE
IN197210CMedicare ID - Type Unspecified