Shilpa Ravi Mallur in Indianapolis - Internal Medicine

Shilpa Ravi Mallur - NPI 1336307909

Shilpa Ravi Mallur is a Internal Medicine in Indianapolis, Indiana. Shilpa Ravi Mallur practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Shilpa Ravi Mallur is 1336307909. The last update date is 2018-10-24.

Shilpa Ravi Mallur's current location address is 7120 Clearvista Dr, Indianapolis, Indiana. You can contact this provider via phone number 3176215676 and fax number 3176215658. The mailing address for Shilpa Ravi Mallur is 7120 Clearvista Dr, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Shilpa Ravi Mallur
Address 7120 Clearvista Dr, Indianapolis, Indiana
Phone Number 3176215676
Fax Number 3176215658
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1336307909
Provider Enumeration Date 2008-05-29
Last Updated Date 2018-10-24

Provider Mailing Address Detail

Address 7120 Clearvista Dr
City Indianapolis
State Indiana (IN)
Post Code 462561621
Phone Number 3176215676
Fax Number 3176215658

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 01066431A
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200963940 IN --
P01133607 IN MEDICARE RAILROAD

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FAQs about Shilpa Ravi Mallur

What is the Shilpa Ravi Mallur's 1336307909?

The Shilpa Ravi Mallur's NPI (National Provider Identifier) Number is 1336307909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Shilpa Ravi Mallur's physical address?

The Shilpa Ravi Mallur is physically located at 7120 Clearvista Dr, in the city of Indianapolis, IN, with the postal code 462561621.

What is the area of specialization for Shilpa Ravi Mallur, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shilpa Ravi Mallur is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

On what date was the 1336307909 assigned to Shilpa Ravi Mallur?

The Shilpa Ravi Mallur was issued its 1336307909 on 2008-05-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Shilpa Ravi Mallur most recently updated or revised?

The details related to Shilpa Ravi Mallur, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-24.

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