Aravinda Gachumale
Individual provider Active NPI Contractor · Indianapolis, IN
NPI 1851584080 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1851584080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 029401 (NY)
- Practice address
- 5980 W 71St St Ste 102
Indianapolis, IN 46278-2711 - Phone
- (317) 388-0800
- Fax
- (317) 388-0805
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029401 | NY | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Therapies,Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 029401 | NY | Yes |
Addresses
Primary practice location
5980 W 71St St Ste 102
Indianapolis, IN 46278-2711
Mailing address
5980 W 71St St Ste 102
Indianapolis, IN 46278-2711
Phone (317) 388-0800
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.