Individual
RAJESH GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1002 WISHARD BLVD, 4TH FL, INDIANAPOLIS, IN 46202-2872
(317) 692-2323
(317) 656-3967
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056834A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000258161
ANTHEM
IN
05
—
200411650
—
IN
Enumeration date
05/11/2006
Last updated
07/22/2011
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