Maturi, Raj K

Maturi, Raj K is an sole proprietor health care provider with primary practice located at 10300 N Illinois St Ste 1060 , Indianapolis IN 46290-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Maturi, Raj K can be contacted via phone (317) 817-1414.

Contact Information

Primary practice address
10300 N Illinois St Ste 1060 Indianapolis IN 46290-1167
Fax: (317) 805-4587
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01050295 Indiana

Profile Details

NPI number 1366448631
LBN Legal business name Maturi, Raj K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jul 21st, 2022 - about 3 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 1366448631 NPPES
Indiana Other 5134 724 AETNA PROVIDER ID
Indiana Other 000000196897 AETNA PROVIDER ID
Indiana Other 352076654 AETNA PROVIDER ID
Indiana Other 180042424 AETNA PROVIDER ID
Indiana MEDICAID 200216230 AETNA PROVIDER ID

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