Individual
DR. HEMALATHA HEMACHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Mailing address
3400 LAFAYETTE RD, SUITE 200, INDIANAPOLIS, IN 46222-1146
(317) 291-7422
(317) 291-7433
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01046508A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112511
ANTHEM PIN #
IN
05
—
200144060
—
IN
01
—
200311740E
MEDICAID GROUP #
IN
01
—
370018017
MEDICARE RAILROAD #
IN
01
—
5043590
AETNA PIN #
IN
Enumeration date
08/12/2005
Last updated
01/15/2021
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