Individual
DR. SUNITHA VALAMBIGE MUDALAGIRI GOWDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2855 N KEYSTONE AVE STE 100, INDIANAPOLIS, IN 46218-2790
(317) 957-2300
(317) 957-2320
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01083183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033318
—
IN
Enumeration date
09/20/2010
Last updated
11/02/2023
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