Provider Demographics
NPI:1396746459
Name:CATOIRA-BOYLE, YARA PAULA (MD)
Entity type:Individual
Prefix:DR
First Name:YARA PAULA
Middle Name:
Last Name:CATOIRA-BOYLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 ROTARY CIR
Mailing Address - Street 2:140C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5133
Mailing Address - Country:US
Mailing Address - Phone:317-278-2661
Mailing Address - Fax:317-278-1007
Practice Address - Street 1:1001 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2859
Practice Address - Country:US
Practice Address - Phone:317-554-0000
Practice Address - Fax:317-988-2970
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01051739A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200408370Medicaid
INH77241Medicare UPIN
IN200408370Medicaid