Individual
PRIYANTHIE GANENTHIRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9443 E 38TH ST, INDIANAPOLIS, IN 46235-2132
(317) 890-2100
(317) 890-2171
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077985A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005051
—
IN
Enumeration date
07/08/2014
Last updated
09/17/2025
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