Individual
DR. RANGARAJAN PURUSHOTHAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 UNIVERSITY BLVD RM 663, INDIANAPOLIS, IN 46202-5149
(317) 274-1866
Mailing address
3841 GABLE LANE DR APT 537, INDIANAPOLIS, IN 46228-3391
(501) 301-4416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74045
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/17/2019
Last updated
06/09/2025
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