Jutla, Simran K
Jutla, Simran K is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Jutla, Simran K can be contacted via phone (317) 948-7208.Contact Information
Primary practice address
705 Riley Hospital Dr
Indianapolis IN 46202-5109
Phone: (317) 948-7208
Fax: (317) 944-7245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 01085957A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01085957A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 01085957A | Indiana |
Profile Details
| NPI number | 1235633850 |
|---|---|
| LBN Legal business name | Jutla, Simran K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2018 |
| Last updated | Aug 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235633850 | NPPES |
| Indiana | MEDICAID | 300051677 |
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