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NPI Code Detail

MEDICARE: HARIMAYA POUDEL DHUNGANA

MEDICARE: HARIMAYA POUDEL DHUNGANA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner71007842AIN

General Provider Information

NPI Number : 1225531270
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARIMAYA POUDEL DHUNGANA
Provider Business Mailing Address
First Line : 3806 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-1905
Country : US
Telephone Number : 317-731-5887
Fax Number :
Provider Business Practice Location Address
First Line : 1217 S RANGELINE RD
Second Line :
City : CARMEL
State : IN
Zip : 46032-2519
Country : US
Telephone Number : 161-542-5417
Fax Number : 317-574-4677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2018
Last Update Date : 04/12/2018

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Directions to “ HARIMAYA POUDEL DHUNGANA ” Practice Location

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