Individual
SENTHIL PACKIASABAPATHY KUTHALINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-9981
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01083843A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019716A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001386849
ANTHEM PTAN
IN
05
—
300035432
—
IN
Enumeration date
03/19/2018
Last updated
12/12/2024
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