Individual
ADITYA AHLAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 658-2753
(765) 655-2687
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075263A
IN
207Q00000X
Family Medicine Physician
Primary
01075623A
IN
207Q00000X
Family Medicine Physician
11016994A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001598588
ANTHEM PTAN
IN
05
—
201307610
—
IN
Enumeration date
06/13/2013
Last updated
05/06/2025
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