Individual
SHIVAJI R GUNALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4301
Mailing address
115 W 19TH ST, INDIANAPOLIS, IN 46202-1310
(317) 924-4022
(317) 924-4233
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01026038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247011
ANTHEM PIN (ICCC)
IN
01
—
000000489292
ANTHEM PIN (CHOP)
IN
01
—
000000527371
ANTHEM PIN (QOC)
IN
05
—
100323770
—
IN
01
—
2107420
CIGNA PIN
IN
01
—
4004226
AETNA PIN
IN
Enumeration date
02/03/2006
Last updated
07/03/2008
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