Individual
VARUN MITTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085980A
IN
207RH0000X
Hematology (Internal Medicine) Physician
Primary
01085980A
IN
208M00000X
Hospitalist Physician
25233
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001560507
ANTHEM PTAN
IN
05
—
300052223
—
IN
Enumeration date
09/02/2011
Last updated
03/14/2025
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