Individual
NITESH REDDY GADEELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1402 E COUNTY LINE RD, SUITE 2400, INDIANAPOLIS, IN 46227-0963
(317) 887-7880
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
(317) 621-7468
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073868A
IN
207RC0000X
Cardiovascular Disease Physician
01073868A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01073868A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301085796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201265080
—
IN
01
—
P01427009
MEDICARE RAILROAD PTAN
IN
Enumeration date
04/08/2007
Last updated
06/11/2021
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