Individual
DR. PRATIBHA RANGANATHA BURLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
550 UNIVERSITY BLVD, UH2440, INDIANAPOLIS, IN 46202-5149
(317) 948-3026
(317) 944-7417
Mailing address
550 UNIVERSITY BLVD, UH2440, INDIANAPOLIS, IN 46202-5149
(317) 948-3026
(317) 944-7417
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01072551A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201193910
—
IN
Enumeration date
08/05/2012
Last updated
12/17/2021
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