Individual
DR. SANGEETA LAXMI GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
(317) 715-6415
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01059508
IN
2085R0202X
Diagnostic Radiology Physician
35.078109
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200491260
—
IN
01
—
P00800392
RAILROAD MEDICARE
IN
Enumeration date
05/01/2007
Last updated
06/13/2011
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