Individual
OPKARDEEP TUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6470 N SHADELAND AVE STE D, INDIANAPOLIS, IN 46220-4386
(317) 598-0094
(317) 468-9202
Mailing address
6470 N SHADELAND AVE STE D, INDIANAPOLIS, IN 46220-4386
(317) 598-0094
(317) 468-9202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
53853
CA
363AS0400X
Surgical Physician Assistant
Primary
10002156A
IN
Other
Enumeration date
11/10/2016
Last updated
12/06/2021
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