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General NPI Number Information
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NPI Number | 1467699090
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Entity Type | Organization
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Legal Business Name | RAJ K. MATURI MD PC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11220 ILLINOIS ST STE 110
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City | CARMEL
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State | IN
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Zip | 46032-8887
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Country | US
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Telephone | 317-817-1414
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Fax | 317-805-4587
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Provider Business Mailing Address
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Address Line | 11220 ILLINOIS ST STE 110
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City | CARMEL
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State | IN
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Zip | 46032-9847
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Country | US
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Telephone | 317-817-1414
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Fax | 317-805-4587
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | RAJ K MATURI
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Credential | MD
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Telephone | 317-817-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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