NPI 1043585946

Shiva Prasad Gangadhar, MD

Practitioner Physical Medicine & Rehabilitation Physician Indianapolis, IN

Practice location

Address: 6330 E 75th St STE 110, Indianapolis, IN 46250-2777
Phone: (317) 588-7149
Fax: (317) 588-7150
Mailing address: 6330 E 75th St STE 110, Indianapolis, IN 46250-2717

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 01075188A (IN)

Other Physical Medicine & Rehabilitation providers in Indiana →

Registry record

NPI: 1043585946
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Mar 2012
Record last updated: 8 Dec 2020

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.