Individual
DR. RAJ K MATURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11220 ILLINOIS ST STE 110, CARMEL, IN 46032-8887
(317) 817-1414
(317) 805-4587
Mailing address
11220 ILLINOIS ST STE 110, CARMEL, IN 46032-9847
(317) 817-1414
(317) 805-4587
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01050295
IN
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
01050295
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196897
ANTHEM BCBS PIN
IN
01
—
180042424
RAILROAD MEDICARE PIN
IN
05
—
200216230
—
IN
01
—
352076654
TAX ID
IN
01
—
5134 724
AETNA PROVIDER ID
IN
Enumeration date
06/22/2005
Last updated
01/14/2026
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