Individual
KIRANDEEP BANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8776
(317) 962-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F06200050
AZ
363LF0000X
Family Nurse Practitioner
Primary
71013715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078221
—
IN
Enumeration date
06/09/2020
Last updated
10/29/2025
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