Individual
PANCHAPAKESAN PRANATHARTHI HARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01053508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200327600A
—
IN
Enumeration date
07/23/2006
Last updated
11/10/2023
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