Individual
KRUNAL SOMABHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4725 STATESMEN DR SUITE C, INDIANAPOLIS, IN 46250
(317) 577-4200
Mailing address
4725 STATESMEN DR, SUITES C-D, ANESTHESIA CONSULTANTS OF INDIANAPOLIS, INDIANAPOLIS, IN 46250
(317) 577-4200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02005592A
IN
207L00000X
Anesthesiology Physician
20A15400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001566232
ANTHEM PTAN
IN
01
—
1101878068
ANTHEM PTAN
IN
05
—
300028102
—
IN
Enumeration date
06/20/2013
Last updated
12/03/2024
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