Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 4301106862 | MI |
NPI | 1326459314 |
---|---|
Provider Name | Tarun Rahul Jindal |
First Address | Indianapolis, IN 46256-3307 |
Second Address | Indianapolis, IN 46256-3307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2014 |
Last Update Date | 29/12/2020 |