Individual
UNDRANITA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12077 STERN DR, INDIANAPOLIS, IN 46256-9442
(317) 628-1475
Mailing address
12077 STERN DR, INDIANAPOLIS, IN 46256-9442
(317) 628-1475
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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