Provider Demographics
NPI:1992543953
Name:ADANIYA, CATHERINE HALIA
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HALIA
Last Name:ADANIYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1934 RUCKLE ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1751
Mailing Address - Country:US
Mailing Address - Phone:317-677-3554
Mailing Address - Fax:
Practice Address - Street 1:4920 SHADOW ROCK CIR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9500
Practice Address - Country:US
Practice Address - Phone:317-677-3554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program