Provider Demographics
NPI:1174504096
Name:CORBITT, TOYA J (MD)
Entity type:Individual
Prefix:
First Name:TOYA
Middle Name:J
Last Name:CORBITT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1815 N CAPITOL AVE
Mailing Address - Street 2:#304
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1288
Mailing Address - Country:US
Mailing Address - Phone:317-925-7795
Mailing Address - Fax:317-925-3277
Practice Address - Street 1:1815 N CAPITOL AVE
Practice Address - Street 2:#304
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1288
Practice Address - Country:US
Practice Address - Phone:317-925-7795
Practice Address - Fax:317-925-3277
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IN01036558208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
XC7733Medicare UPIN