Individual
CHANUKYA RAMA DAHAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., M.D.
Contact information
Practice address
1402 E COUNTY LINE RD STE 2400, INDIANAPOLIS, IN 46227-0963
(317) 621-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15771
AL
207R00000X
Internal Medicine Physician
01088076A
IN
207R00000X
Internal Medicine Physician
18951
NV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01088076A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2011
Last updated
09/18/2023
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