Individual
RITU BORDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 741-2957
(765) 747-3310
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(131) 796-2383
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
01089155A
IN
2085N0700X
Neuroradiology Physician
2018009202
MO
2085R0202X
Diagnostic Radiology Physician
01089155A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
2018009202
MO
2085R0202X
Diagnostic Radiology Physician
267333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300074008
—
IN
01
—
959090182
MEDICARE PTAN
IN
Enumeration date
05/16/2012
Last updated
10/14/2025
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