Individual
DR. KARISHMA DATLA RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST # CL642, INDIANAPOLIS, IN 46202-5209
(317) 278-2686
(317) 278-2650
Mailing address
126 CHESTNUT HILLS PKWY, FORT WAYNE, IN 46814-8924
(260) 385-2888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
198107
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2021
Last updated
05/11/2026
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