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Individual

KOKILA NAGENDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1633 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1261
(317) 962-0963
(614) 293-4556
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070751A
IN
207RI0200X
Infectious Disease Physician
Primary
01070751A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201066510
IN
Enumeration date
07/05/2011
Last updated
03/17/2025
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