Individual
RATHIPRIYA MAHENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
831 THEATRE DRIVE, MARION, IN 46952-4470
(765) 660-7800
(765) 662-4470
Mailing address
330 NORTH WABASH AVE, SUITE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
01054397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214428
ANTHEM BCBS
IN
05
—
200371420
—
IN
Enumeration date
11/10/2005
Last updated
10/20/2020
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