Individual
DR. RUBAN NIRMALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
(765) 448-8027
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01066478A
IN
208600000X
Surgery Physician
4301078176
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000640377
ANTHEM PROVIDER NUMBER
IN
05
—
10- 4 931185
—
MI
05
—
200970890
—
IN
01
—
6221485
CIGNA
—
Enumeration date
10/02/2006
Last updated
02/03/2021
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