Provider Demographics
NPI:1790937696
Name:NIRMALA, RANJINI (MD)
Entity Type:Individual
Prefix:
First Name:RANJINI
Middle Name:
Last Name:NIRMALA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANJINI
Other - Middle Name:
Other - Last Name:RAMACHANDRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 N. UNIVERSITY BLVD
Mailing Address - Street 2:ROOM NO. 0641
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2879
Mailing Address - Country:US
Mailing Address - Phone:317-278-2449
Mailing Address - Fax:317-278-2803
Practice Address - Street 1:550 N. UNIVERSITY BLVD
Practice Address - Street 2:ROOM NO. 0641
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2879
Practice Address - Country:US
Practice Address - Phone:317-278-2449
Practice Address - Fax:317-278-2803
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11014226A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology