# SIMRAN K JUTLA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235633850
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 01085957A | IN | — |
| 208000000X | Pediatrics Physician | 01085957A | IN | — |
| 2080P0201X | Pediatric Allergy/Immunology Physician | 01085957A | IN | Yes |

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 02/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1103673141 | ANTHEM PTAN | IN |
| 05 | — | 300051677 | — | IN |