Provider Demographics
NPI:1841211059
Name:YAKHMI, VANITA (MD)
Entity Type:Individual
Prefix:
First Name:VANITA
Middle Name:
Last Name:YAKHMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VANITA
Other - Middle Name:
Other - Last Name:DUGGAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
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:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:317-355-2184
Mailing Address - Fax:317-355-2185
Practice Address - Street 1:10122 E 10TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2664
Practice Address - Country:US
Practice Address - Phone:317-355-2200
Practice Address - Fax:317-355-2185
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040423A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000316854OtherANTHEM
IN213810AMedicare PIN
IN000000316854OtherANTHEM
INM400043135Medicare PIN
INE47291Medicare UPIN