Individual
TUSHAR C PADHYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5572
Mailing address
PO BOX 660267, INDIANAPOLIS, IN 46266-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01055182A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510956
ANTHEM BCBS
IN
Enumeration date
03/09/2007
Last updated
10/11/2007
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