Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 01058925A | IN |
NPI | 1073585006 |
---|---|
Provider Name | Radhika V Walling |
First Address | Indianapolis, IN 46250-2890 |
Second Address | Indianapolis, IN 46250-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 28/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000475174 | ANTHEM (01) | IN |
0652978 | CIGNA (01) | IN |
200465620 | (05) | IN |
296906 | WELLCARE (01) | IN |
7833766 | AETNA (01) | IN |
I08576 | (02) | IN |
P00415789 | MEDICARE RR (01) | IN |
P01751222 | RR MEDICARE (01) | IN |