Provider Demographics
NPI:1467018069
Name:EASWARAN, TERESA PARVATHY (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:PARVATHY
Last Name:EASWARAN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 MANSION DR APT F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-0020
Mailing Address - Country:US
Mailing Address - Phone:317-529-5459
Mailing Address - Fax:
Practice Address - Street 1:545 BARNHILL DRIVE, EMERSON HALL 125
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-4620
Practice Address - Country:US
Practice Address - Phone:317-274-4966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty