Individual
DR. HARSHA SANTHESHIVARA NAGARAJARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 208, MISHAWAKA, IN 46545-1465
(574) 335-6700
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084529A
IN
207R00000X
Internal Medicine Physician
21097
MS
207RC0000X
Cardiovascular Disease Physician
Primary
01084529A
IN
207RC0000X
Cardiovascular Disease Physician
11217644-1205
UT
207RC0000X
Cardiovascular Disease Physician
21097
MS
207RC0000X
Cardiovascular Disease Physician
35.136442
OH
207RC0000X
Cardiovascular Disease Physician
45921
KY
207RI0011X
Interventional Cardiology Physician
01084529A
IN
207RI0011X
Interventional Cardiology Physician
R3161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102029315
ANTHEM
IN
05
—
300042223
—
IN
Enumeration date
05/24/2007
Last updated
03/27/2024
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