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Individual

MANISH N CHHEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 N. UNIVERSITY BLVD., UH2007, INDIANAPOLIS, IN 46202-5149
(317) 274-2167
(317) 274-2305
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045343A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000086823
ANTHEM
IN
05
200119040
IN
Enumeration date
05/02/2006
Last updated
08/12/2013
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