Provider Demographics
NPI:1235303652
Name:PANDA, MEGHA SAVANT (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGHA
Middle Name:SAVANT
Last Name:PANDA
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:720 ESKEANZI AVE
Mailing Address - Street 2:FIFTH THIRD BANK BLDG, 5TH FL
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5166
Mailing Address - Country:US
Mailing Address - Phone:317-880-4121
Mailing Address - Fax:317-880-0343
Practice Address - Street 1:2700 DR MARTIN LUTHER KING JR ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5019
Practice Address - Country:US
Practice Address - Phone:317-931-4300
Practice Address - Fax:317-931-4330
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34010490207R00000X, 208000000X
RIDO00844208000000X
IN02006117A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300041037Medicaid