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NPI Code Detail

MEDICARE: DR. RAHUL PEDAGANDHAM

MEDICARE:  DR. RAHUL  PEDAGANDHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist07001513AIN

General Provider Information

NPI Number : 1447954730
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAHUL PEDAGANDHAM
Provider Business Mailing Address
First Line : PO BOX 328
Second Line :
City : EVANSVILLE
State : IN
Zip : 47702-0328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10455 ORTHOPAEDIC DR
Second Line :
City : NEWBURGH
State : IN
Zip : 47630-7955
Country : US
Telephone Number : 812-424-9291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2023
Last Update Date : 06/23/2026

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Directions to “ DR. RAHUL PEDAGANDHAM ” Practice Location

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