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General NPI Number Information
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NPI Number | 1457774788
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Entity Type | Individual
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Provider Name | YAGNARAM PICHAI RAVICHANDRAN-CUPP MD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | PEYTON MANNING CHILDREN'S HOSPITAL, ASCENSION ST. VINCENT INDIANAPOLIS 2001 W 86TH STREET
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-238-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 7727 PLATINI PLACE
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City | INDIANAPOLIS
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State | IN
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Zip | 46214
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Country | US
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Telephone | 347-741-9680
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01088537A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | U0426
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD49546
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD31367
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | A183490
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 4301109517
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 35.133321
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | U0426
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License Number State | TX
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