Individual
BALA RANGASWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8902 N MERIDIAN ST STE 101, INDIANAPOLIS, IN 46260
(317) 848-8048
Mailing address
8902 N MERIDIAN ST STE 101, INDIANAPOLIS, IN 46260-5306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01046233A
IN
207R00000X
Internal Medicine Physician
Primary
01046233C
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042500
—
IN
01
—
P01678742
RR PTAN
IN
Enumeration date
06/09/2006
Last updated
07/19/2019
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