Individual
FNU RAKSHITA CHANDRASHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD STE 2410, INDIANAPOLIS, IN 46227-0963
(317) 887-7880
(317) 887-7886
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103018
MI
207RC0000X
Cardiovascular Disease Physician
Primary
01081883A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301103018
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026270
—
IN
01
—
P02259044
RR MEDICARE
IN
Enumeration date
07/23/2013
Last updated
06/11/2021
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