Individual
DR. SISIR K DHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12256 WAYSIDE RD, INDIANAPOLIS, IN 46256-9432
(317) 288-3900
Mailing address
12256 WAYSIDE RD, INDIANAPOLIS, IN 46256-9432
(317) 288-3900
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01028487A
IN
207RN0300X
Nephrology Physician
1028487A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084501
ANTHEM BLUE CROSS BLUE SH
IN
05
—
100084330
—
IN
05
—
4950266012
—
IL
Enumeration date
05/04/2006
Last updated
03/25/2013
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