Ammakkanavar, Natraj Reddy
Ammakkanavar, Natraj Reddy is an individual health care provider with primary practice located at 7979 N Shadeland Ave Ste 200, Indianapolis IN 46250-2042. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Ammakkanavar, Natraj Reddy can be contacted via phone (317) 621-4300.Contact Information
Primary practice address
7979 N Shadeland Ave Ste 200
Indianapolis IN 46250-2042
Phone: (317) 621-4300
Fax: (317) 621-4301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 01070925A | Indiana |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 01070925A | Indiana |
Profile Details
| NPI number | 1376850461 |
|---|---|
| LBN Legal business name | Ammakkanavar, Natraj Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2010 |
| Last updated | Sep 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376850461 | NPPES |
| Indiana | MEDICAID | 201125110 | |
| Indiana | Other | 000000943086 | |
| Indiana | Other | P01751209 | |
| Indiana | Other | P01512377 |
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