Organization
BIOIDENTICAL LLC
Active
Other names
myBio
Organization subpart
No
Provider details
NPI number
Authorized official
BALA RANGASWAMI MD (OWNER)
(317) 436-7469
Entity
Organization
Contact information
Practice address
4725 STATESMEN DR, INDIANAPOLIS, IN 46250-5644
(317) 436-7469
(317) 436-7487
Mailing address
4725 STATESMEN DR, INDIANAPOLIS, IN 46250-5644
(317) 436-7469
(317) 436-7487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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