DR. Shiva Prasad Gangadhar, M.D.

NPI #1043585946 in Indianapolis, Indiana

Provider Information

NPI Number
1043585946
Entity Type
Individual
Name
DR. Shiva Prasad Gangadhar, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Medicine & Rehabilitation
Credential
M.D.
Enumeration Date
Mar 12, 2012
Last Updated
Dec 8, 2020

Practice Location

Address
6330 E 75TH ST
Address 2
STE 110
State
Indiana
ZIP Code
46250-2777
Phone
(317) 588-7149

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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