# MOHCI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124155833
- **Authorized official:** DR. SALIGRAMA ANJANIGOWDA RANGANATH MD (STAFF PHYSICIAN)
- **Authorized official phone:** (317) 352-4333

## Contact information

- **Practice address:** 6900 ENGLISH AVE, INDIANAPOLIS, IN 46219-7416
- **Practice address phone:** (317) 352-4333
- **Practice address fax:** (317) 352-4032
- **Mailing address:** 20 GRAPEVINE CT, W LAFAYETTE, IN 47906-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | 01040697A | IN | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020