Individual
RAMESH PRAJAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 676-4102
(812) 676-4106
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 963-9328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01073995A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000976734
ANTHEM
IN
05
—
201233910
—
IN
Enumeration date
12/07/2013
Last updated
10/30/2024
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