Kantawala, Kartikeya Prakash
Kantawala, Kartikeya Prakash is an individual health care provider with primary practice located at 714 N Senate Ave Ste 100, Indianapolis IN 46202-3763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Kantawala, Kartikeya Prakash can be contacted via phone (317) 715-6401.Contact Information
Primary practice address
714 N Senate Ave Ste 100
Indianapolis IN 46202-3763
Phone: (317) 715-6401
Fax: (317) 715-6454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2010026612 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 01069498A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01069498A | Indiana |
Profile Details
| NPI number | 1932377090 |
|---|---|
| LBN Legal business name | Kantawala, Kartikeya Prakash |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2008 |
| Last updated | Sep 26th, 2011 - about 13 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 | 1932377090 | NPPES |
| Indiana | MEDICAID | 201029390 |
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