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NPI Code Detail

MEDICARE: SHIVAJI R GUNALE M.D.

MEDICARE: SHIVAJI R GUNALE 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
1207RH0003XHematology & Oncology Physician01026038AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000247011OTHERINANTHEM PIN (ICCC)
2000000527371OTHERINANTHEM PIN (QOC)
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
42107420OTHERINCIGNA PIN
5000000489292OTHERINANTHEM PIN (CHOP)
64004226OTHERINAETNA PIN

General Provider Information

NPI Number : 1598737512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIVAJI R GUNALE M.D.
Provider Business Mailing Address
First Line : 115 W 19TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-1310
Country : US
Telephone Number : 317-924-4022
Fax Number : 317-924-4233
Provider Business Practice Location Address
First Line : 7229 CLEARVISTA DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-1698
Country : US
Telephone Number : 317-621-4300
Fax Number : 317-621-4301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 07/03/2008

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Directions to “ SHIVAJI R GUNALE M.D.” Practice Location

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