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Individual

SHILPA D GAITONDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3801 BELLEMEADE AVE STE 300, EVANSVILLE, IN 47714
(812) 485-1400
Mailing address
3801 BELLEMEADE AVE STE 300, EVANSVILLE, IN 47714-0113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065296A
IN
207RR0500X
Rheumatology Physician
Primary
01065296A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000576714
ANTHEM
01
200829650N
MEDICAID GROUP
IN
05
200906520
IN
05
7100051400
KY
Enumeration date
06/11/2007
Last updated
06/22/2022
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