Individual
AJITA NARAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1701 S CREASY LN STE 1W93, LAFAYETTE, IN 47905-4972
(765) 502-4015
(765) 471-5461
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066485A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01066485A
IN
207RH0003X
Hematology & Oncology Physician
57012171
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000720778
ANTHEM PROVIDER NUMBER
IN
05
—
200952850
—
IN
Enumeration date
05/25/2007
Last updated
03/10/2026
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