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NPI Code Detail

MEDICARE: RAJIV TEWARI M.D.

MEDICARE:   RAJIV  TEWARI  M.D.
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
1208VP0000XPain Medicine Physician01052497AIN
2207LP2900XPain Medicine (Anesthesiology) Physician01052497AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245292606
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAJIV TEWARI M.D.
Provider Business Mailing Address
First Line : 10767 ILLINOIS ST STE 3000
Second Line :
City : CARMEL
State : IN
Zip : 46032-8972
Country : US
Telephone Number : 317-817-1200
Fax Number : 317-817-1220
Provider Business Practice Location Address
First Line : 10995 ALLISONVILLE RD STE 100
Second Line :
City : FISHERS
State : IN
Zip : 46038-2616
Country : US
Telephone Number : 317-842-7928
Fax Number : 317-841-3337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 05/26/2026

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Directions to “ RAJIV TEWARI M.D.” Practice Location

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