Healthcare Provider Details

I. General information

NPI: 1306332390
Provider Name (Legal Business Name): VIRAG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2018
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E 82ND ST
INDIANAPOLIS IN
46256-1458
US

IV. Provider business mailing address

13281 CARMICHAEL LN
CARMEL IN
46074-8475
US

V. Phone/Fax

Practice location:
  • Phone: 317-842-5771
  • Fax: 317-245-2120
Mailing address:
  • Phone: 317-842-5771
  • Fax: 317-245-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. SAUMIIN CALCUTTAWALA
Title or Position: MANAGING PARTNER
Credential: PHARMD, MS
Phone: 463-224-3541