SHIVA PRASAD GANGADHAR

INDIANAPOLIS, IN
NPI1043585946
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IN  01075188A)
Enumeration Date2012-03-12
Last Update Date2020-12-08
Business Address
Dr. SHIVA PRASAD GANGADHAR M.D.
6330 E 75TH ST STE 110
INDIANAPOLIS, IN 46250-2777
Phone number: 317-588-7149
Mailing Address
Dr. SHIVA PRASAD GANGADHAR M.D.
6330 E 75TH ST STE 110
INDIANAPOLIS, IN 46250-2717
Phone number: 317-588-7130
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