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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHIVA PRASAD GANGADHAR, M.D.

Active

DR. SHIVA PRASAD GANGADHAR, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in INDIANAPOLIS, Indiana. NPI 1043585946 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · INDIANAPOLIS, IN

Registration Details

NPI Number
1043585946
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2012 (14.470725512395 yrs)
Last Updated
Dec 8, 2020
License
01075188A (IN)

Practice Information

Address
6330 E 75TH ST
STE 110
INDIANAPOLIS, IN, 462502777
Browse IN providers · Browse ZIP 46250
Phone
3175887149
Fax
3175887150
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in INDIANAPOLIS, IN

Name Credential NPI
DR. MARIA N SOLITO M.D 1902890312
DR. JANINE S SHEPPARD MD 1033191945
DR. MARC E. DUERDEN MD 1053393975
DR. ANTHONY MIMMS MD 1952383887
DR. ARDEN PLETZER MD 1700868635
MICHAEL W. LANE M.D. 1073573465
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.