Individual
ANAHLI MAYANK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
550 UNIVERSITY BLVD STE 1602, INDIANAPOLIS, IN 46202-5149
(317) 948-0164
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043415A
IN
103TC0700X
Clinical Psychologist
20043415A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430A54
MEDICARE
IN
05
—
300045358
—
IN
Enumeration date
10/20/2020
Last updated
02/14/2025
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