Individual
DIPEN CHAMPAKLAL MAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 HADLEY RD STE 201, MOORESVILLE, IN 46158-2907
(317) 834-2020
(317) 831-9467
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01063299A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01063299A
PHYSICIAN LICENSE
IN
Enumeration date
04/17/2007
Last updated
07/11/2023
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