Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pertisha Maruhom

Individual provider Contractor · NPI 1174806988

Pertisha Maruhom is a Contractor in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Maryland and Pennsylvania.

Licensed in
MD, PA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

5980 W 71st St Ste 102
Indianapolis, IN 46278-1785
Phone: (317) 388-0800
Fax: (317) 388-0805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence PT02059 (PA)
Contractor Taxonomy 171W00000X · Licence 23685 (MD)

Record details

NPI number1174806988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 28, 2011
Last updated in NPPESSeptember 28, 2011
Mailing address5980 W 71st St Ste 102, Indianapolis, IN 46278-1785

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