Individual
ANUPAMA MOHANRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2451 INTELLIPLEX DR STE 210, SHELBYVILLE, IN 46176-8581
(317) 421-2012
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01058220
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200219390
—
IN
Enumeration date
04/18/2006
Last updated
01/07/2021
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