Patel, Roma Gautam
Patel, Roma Gautam is an individual health care provider with primary practice located at 1701 N Senate Blvd Room Ag012, Indianapolis IN 46202-1239. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Patel, Roma Gautam can be contacted via phone (317) 962-5975.Contact Information
Primary practice address
1701 N Senate Blvd Room Ag012
Indianapolis IN 46202-1239
Phone: (317) 962-5975
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 11018750A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 01079200A | Indiana |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 01079200A | Indiana |
Profile Details
| NPI number | 1821446931 |
|---|---|
| LBN Legal business name | Patel, Roma Gautam |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2016 |
| Last updated | Mar 15th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821446931 | NPPES |
| Indiana | Other | 000001462232 | ANTHEM PTAN |
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