Individual
UPASANA JARORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W 10TH ST # M200, INDIANAPOLIS, IN 46202-2859
(317) 656-4260
(317) 630-2667
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01077504A
IN
207RC0000X
Cardiovascular Disease Physician
01077504A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017002A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001395135
ANTHEM PTAN
IN
01
—
000001398558
ANTHEM PTAN
IN
05
—
300016025
—
IN
Enumeration date
05/29/2013
Last updated
03/11/2025
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