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
Phone: (317) 817-1414
Fax: (317) 805-4587
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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