Individual
JASJIT KAUR MUDHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7805
Mailing address
6626 E 75TH ST, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01074159A
IN
208M00000X
Hospitalist Physician
Primary
01074159A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000976727
ANTHEM
IN
05
—
201243040
—
IN
01
—
P01824527
RR PTAN
IN
Enumeration date
03/30/2011
Last updated
05/21/2025
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