Healthcare Provider Details

I. General information

NPI: 1235825282
Provider Name (Legal Business Name): DHANYA KUMAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W 14TH ST # 700D
INDIANAPOLIS IN
46202-2369
US

IV. Provider business mailing address

350 W 14TH ST # 700D
INDIANAPOLIS IN
46202-2369
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-6544
  • Fax:
Mailing address:
  • Phone: 317-313-6649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01099902A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: