Gangadhar, Rudrappa

Gangadhar, Rudrappa is an individual health care provider with primary practice located at 2401 W. University Ave , Muncie IN 47303-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gangadhar, Rudrappa can be contacted via phone (765) 747-3134.

Contact Information

Primary practice address
2401 W. University Ave Muncie IN 47303-3428
Phone: (765) 747-3134
Fax: (765) 741-2905
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01027269A Indiana

Profile Details

NPI number 1639252265
LBN Legal business name Gangadhar, Rudrappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 6th, 2010 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639252265 NPPES
Ohio MEDICAID 2099554
Ohio MEDICAID 0894797
Ohio Other 000000033875
Ohio Other 6470
Ohio Other 000000386864
Ohio MEDICAID 100077010
Ohio Other 020434700

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