Individual
DR. HARI KRISHNA PUTTAGUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01077663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201206190
—
IN
Enumeration date
06/19/2008
Last updated
03/04/2025
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