Individual
DR. CHANDANA LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, RADIOLOGY DEPT, INDIANAPOLIS, IN 46202-5149
(317) 278-9729
(317) 274-4135
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6402
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056924
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409920
—
IN
01
—
P00176885
RAILROAD MEDICARE
IN
Enumeration date
06/05/2006
Last updated
07/20/2009
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