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Individual

ANIL PUROHIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227
(317) 887-7880
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01076321A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01076321A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
TMP-02496
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201345640
IN
01
P01678741
MEDICARE RAILROAD PTAN
IN
Enumeration date
05/23/2007
Last updated
06/14/2021
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