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Individual

DR. ARPAN VAIKUNTH PRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3800
(317) 944-1310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01090597A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300080997
IN
01
719710021
MEDICARE PTAN
IN
01
Q00572810
RAILROAD PTAN
IN
Enumeration date
05/25/2018
Last updated
11/13/2023
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