Dr. Shiva Prasad Gangadhar
Physical Medicine & Rehabilitation Doctor
6330 E 75th St Ste 110
Indianapolis
, Indiana 46250-2777
Dr. Shiva Prasad Gangadhar
Physical Medicine & Rehabilitation Doctor
6330 E 75th St Ste 110
Indianapolis
, Indiana 46250-2777
(317) 588-7133
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Shiva Prasad Gangadhar
- 6330 E 75th St Ste 110
- Indianapolis, IN
- Zip : 46250-2717
- Fax : (317) 588-7133
- Phone : (317) 588-7130
Second Address
- Dr. Shiva Prasad Gangadhar
- 6330 E 75th St Ste 110
- Indianapolis, IN
- Zip : 46250-2777
- Fax : (317) 588-7150
- Phone : (317) 588-7149
Reviews
FAQs
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Is Dr. Shiva Prasad Gangadhar a sole practitioner?
Is Dr. Shiva Prasad Gangadhar accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 01075188A | IN |
National Provider Identifier
| NPI | 1043585946 |
|---|---|
| Provider Name | Dr. Shiva Prasad Gangadhar |
| First Address | Indianapolis, IN 46250-2717 |
| Second Address | Indianapolis, IN 46250-2777 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/03/2012 |
| Last Update Date | 08/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201109490 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.