Individual
DR. NEETU MAHENDRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, UH 1501, INDIANAPOLIS, IN 46202-5149
(317) 948-0763
(317) 948-0503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01066700A
IN
207R00000X
Internal Medicine Physician
125051498
IL
208M00000X
Hospitalist Physician
01066700A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200951170
—
IN
01
—
P00757096
RAILROAD MEDICARE
IN
Enumeration date
04/27/2008
Last updated
02/13/2021
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