Individual
TILAK D RAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01088823A
IN
207L00000X
Anesthesiology Physician
21580
OK
207L00000X
Anesthesiology Physician
R3190
TX
Other
Enumeration date
03/11/2006
Last updated
01/06/2023
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