Individual
ARUNDATHI GANESH PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 500, INDIANAPOLIS, IN 46202-1261
(317) 962-5014
(317) 962-2427
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01061996
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200815600
—
IN
Enumeration date
06/06/2006
Last updated
02/10/2021
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