Individual
DR. AJIT DHAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
(765) 983-7958
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01073558A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000976649
ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
—
05
—
0107898
—
OH
05
—
201233860
—
IN
Enumeration date
08/02/2011
Last updated
09/09/2024
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