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Individual

MITHILESH K DAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 944-8660
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01055133A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01055133A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01055133A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000222696
ANTHEM PTAN
IN
01
000000254452
ANTHEM PTAN
IN
05
200380550
IN
Enumeration date
04/17/2006
Last updated
03/06/2025
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