Individual
SHIMOGA RAMAIAH PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01072406A
IN
208M00000X
Hospitalist Physician
Primary
01072406A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201163250
—
IN
Enumeration date
02/16/2007
Last updated
01/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us