Bhaidasna, Tarulata M

Bhaidasna, Tarulata M is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bhaidasna, Tarulata M can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 448-8058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001966A Indiana

Profile Details

NPI number 1275593667
LBN Legal business name Bhaidasna, Tarulata M
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jun 24th, 2015 - about 11 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275593667 NPPES
Indiana Other 000000623458 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200536390 ANTHEM PROVIDER NUMBER

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