Individual
KIRITHIKA DORAIRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST # CL365, INDIANAPOLIS, IN 46202-5209
(317) 278-5099
(317) 274-2695
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070951A
IN
207R00000X
Internal Medicine Physician
125055854
IL
207R00000X
Internal Medicine Physician
47492
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01070951A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000896588
ANTHEM - NIS
KY
01
—
000001248604
ANTHEM PTAN
IN
01
—
167499
SIHO - NIS
KY
05
—
300024060
—
IN
01
—
50076562
PASSPORT - NIS
KY
Enumeration date
08/07/2009
Last updated
03/07/2025
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