Individual
DR. KARTIKEYA PRAKASH KANTAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
(317) 715-6454
Mailing address
714 N SENATE AVE, STE 100, INDIANAPOLIS, IN 46202-3763
(317) 715-6401
(317) 715-6454
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
01069498A
IN
2085R0202X
Diagnostic Radiology Physician
01069498A
IN
2085R0202X
Diagnostic Radiology Physician
2010026612
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201029390
—
IN
Enumeration date
02/12/2008
Last updated
09/26/2011
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