Individual
RANA PRATHAP MERCY PATHROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 W UNIVERSITY AVE STE 3500A, MUNCIE, IN 47303-3428
(765) 289-5420
(765) 281-2150
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01082932A
IN
390200000X
Student in an Organized Health Care Education/Training Program
2015019698
MO
Other
Enumeration date
07/02/2015
Last updated
03/31/2023
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