Individual
JYOTI PANKAJ DANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 274-0275
(317) 274-0256
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01087238A
IN
207L00000X
Anesthesiology Physician
125061003
IL
207L00000X
Anesthesiology Physician
35049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001637793
ANTHEM PTAN
IN
05
—
300059443
—
IN
Enumeration date
06/14/2012
Last updated
12/02/2024
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