Individual
RAJAT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 579-2150
(317) 579-2130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056645A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01056645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342004
ANTHEM
IN
05
—
200499280
—
IN
01
—
P00147569
RAILROAD MEDICARE
IN
01
—
P00177625
RR MEDICARE PINS
IN
01
—
P00364623
RR MEDICARE PINS
IN
01
—
P00387639
RR MEDICARE PINS
IN
Enumeration date
09/09/2005
Last updated
12/29/2020
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