Provider Demographics
NPI:1689102543
Name:ARAVAPALLI, KIRAN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:KUMAR
Last Name:ARAVAPALLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 E MARKET ST APT 543
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2823
Mailing Address - Country:US
Mailing Address - Phone:607-222-8310
Mailing Address - Fax:
Practice Address - Street 1:720 ESKEANZI AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5166
Practice Address - Country:US
Practice Address - Phone:317-880-7666
Practice Address - Fax:317-880-0448
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01083700A208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300003175Medicaid