Motaganahalli, Raghunandan Lakshmana
Motaganahalli, Raghunandan Lakshmana is an individual health care provider with primary practice located at 2651 E Discovery Pkwy , Bloomington IN 47408-9059. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Motaganahalli, Raghunandan Lakshmana can be contacted via phone (812) 355-6900.Contact Information
Primary practice address
2651 E Discovery Pkwy
Bloomington IN 47408-9059
Phone: (812) 355-6900
Fax: (812) 339-1292
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01066089A | Indiana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01066089A | Indiana |
Profile Details
| NPI number | 1285836932 |
|---|---|
| LBN Legal business name | Motaganahalli, Raghunandan Lakshmana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Aug 14th, 2023 - about last year |
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 | 1285836932 | NPPES |
| Indiana | Other | 273010J | MEDICARE PTAN |
| Indiana | Other | 815500267 | MEDICARE PTAN |
| Indiana | Other | P00806728 | MEDICARE PTAN |
| Indiana | MEDICAID | 200935200 | MEDICARE PTAN |
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