Individual
GAURANG P. MAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083586A
IN
207R00000X
Internal Medicine Physician
35.126507
OH
208M00000X
Hospitalist Physician
Primary
01083586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134629
—
OH
05
—
300039233
—
IN
Enumeration date
07/15/2006
Last updated
01/14/2022
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