Individual
PRAGNESHKUMAR N RADADIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 887-7805
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01069393A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201022010
—
IN
Enumeration date
06/18/2008
Last updated
05/11/2017
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