Provider Demographics
NPI:1467562611
Name:ARUNACHALAM, RANGARAJAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RANGARAJAN
Middle Name:
Last Name:ARUNACHALAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 N RITTER AVE
Practice Address - Street 2:SUITE 520
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3052
Practice Address - Country:US
Practice Address - Phone:317-355-1234
Practice Address - Fax:317-355-1503
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01059641A207RC0000X, 207RI0011X
TNMD0000039953207RC0000X
KY39362207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3332405Medicaid
TN4169800OtherBCBS PROVIDER NUMBER
KY#P00928219OtherRR MEDICARE
TN3332405Medicaid
TN33324052Medicare PIN
TN4169800OtherBCBS PROVIDER NUMBER
KYP400022492Medicare PIN
KY#P00928219OtherRR MEDICARE
IN266180325Medicare PIN