Individual
RATNAKAR RAJANAHALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 SUPERIOR AVE STE 4100, MUNSTER, IN 46321-4037
(219) 934-4080
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01053109A
IN
207RI0011X
Interventional Cardiology Physician
01053109A
IN
207RI0011X
Interventional Cardiology Physician
036-098182
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188508
ANTHEM PIN
IN
01
—
060062254
RR MEDICARE
—
05
—
200317580A
—
IN
Enumeration date
12/06/2005
Last updated
12/15/2025
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