NPI 1003103953

Chanukya Rama Dahagam, PHARMDMD

Practitioner Clinical Cardiac Electrophysiology Physician Indianapolis, IN

Practice location

Address: 1402 E County Line Rd STE 2400, Indianapolis, IN 46227-0963
Phone: (317) 621-8500
Mailing address: 6626 E 75th St STE 500, Indianapolis, IN 46250-2890

Registered specialties (5)

Clinical Cardiac Electrophysiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0001X Licence 01088076A (IN)

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Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 15771 (AL)

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Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 18951 (NV)

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01088076A (IN)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003103953
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2011
Record last updated: 18 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.