Organization
JAI V. GHATNEKAR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI V GHATNEKAR MD (OWNER)
(260) 436-1900
Entity
Organization
Contact information
Practice address
2001 STULTS RD, STE 200, HUNTINGTON, IN 46750-1291
(260) 436-1900
(260) 436-1909
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-3105
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200890130
—
IN
Enumeration date
09/06/2006
Last updated
08/24/2009
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