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Organization

MOHCI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALIGRAMA ANJANIGOWDA RANGANATH MD (STAFF PHYSICIAN)
(317) 352-4333
Entity
Organization

Contact information

Practice address
6900 ENGLISH AVE, INDIANAPOLIS, IN 46219-7416
(317) 352-4333
(317) 352-4032
Mailing address
20 GRAPEVINE CT, W LAFAYETTE, IN 47906-9047

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
01040697A
IN

Other

Enumeration date
02/28/2007
Last updated
08/22/2020
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