Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01057887A | IN |
Y | 2080P0214X | Pediatric Pulmonologist | 01057887A | IN |
NPI | 1518942051 |
---|---|
Provider Name | Ramindrajit Singh Sufi |
First Address | Indianapolis, IN 46290-1024 |
Second Address | Indianapolis, IN 46260-2074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 21/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200452820 | (05) | IN |
H60533 | (02) |