Individual
VINOD A PALLEKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9560 E 59TH ST, INDIANAPOLIS, IN 46216-1010
(317) 621-1700
(317) 621-1711
Mailing address
5340 WOBURN DR, INDIANAPOLIS, IN 46250-2742
(317) 331-3358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344907
ANTHEM
IN
05
—
200930550
—
IN
Enumeration date
02/22/2006
Last updated
04/26/2019
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