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General NPI Number Information
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NPI Number | 1437416310
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Entity Type | Individual
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Provider Name | ASHWIN REDDY MADUPU MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3620 W BETHEL AVE
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City | MUNCIE
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State | IN
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Zip | 47304-5407
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Country | US
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Telephone | 765-283-0150
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Fax | 765-283-0145
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Provider Business Mailing Address
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Address Line | 13225 N MERIDIAN ST
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City | CARMEL
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State | IN
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Zip | 46032-5480
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Country | US
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Telephone | 317-228-7000
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Fax | 317-228-2321
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01073745A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01073745A
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License Number State | IN
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