Individual
MEENAKSHI SWAMINATHAN MADHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD., PHD
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 962-2500
(317) 962-2515
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01090391A
IN
207R00000X
Internal Medicine Physician
059811
GA
207RC0000X
Cardiovascular Disease Physician
Primary
01090391A
IN
207RC0000X
Cardiovascular Disease Physician
48653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101499977
ANTHEM PTAN
IN
05
—
300080271
—
IN
Enumeration date
12/20/2007
Last updated
03/14/2025
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