Divakaruni, Anuradha

Divakaruni, Anuradha is an individual health care provider with primary practice located at 1730 45Th Ave , Munster IN 46321-3915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Divakaruni, Anuradha can be contacted via phone (219) 836-9677.

Contact Information

Primary practice address
1730 45Th Ave Munster IN 46321-3915
Phone: (219) 836-9677
Fax: (219) 836-0688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 01042616 Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01042616 Indiana

Profile Details

NPI number 1902936586
LBN Legal business name Divakaruni, Anuradha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Sep 15th, 2010 - about 16 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 1902936586 NPPES
Indiana MEDICAID 100382300
Indiana Other 90000999
Indiana Other 000000320576

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