Individual
DR. KAMALDEEP SINGH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2919
(317) 880-3838
(317) 880-0081
Mailing address
720 ESKEANZI AVE, FIFTH THIRD BANK BLDG, 5TH FL, INDIANAPOLIS, IN 46202-5166
(317) 880-4121
(317) 880-0323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01085619A
IN
208000000X
Pediatrics Physician
01085619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003399
—
IN
Enumeration date
04/18/2017
Last updated
11/22/2021
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