Provider Demographics
NPI:1700261245
Name:RAMAGIRI VINOD, NAGADARSHINI URS (MD)
Entity type:Individual
Prefix:
First Name:NAGADARSHINI
Middle Name:URS
Last Name:RAMAGIRI VINOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DARSHINI
Other - Middle Name:URS
Other - Last Name:VINOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-630-7582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01084113A207R00000X, 207RR0500X
PAMT209098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300041208Medicaid
IN1102220576OtherANTHEM PTAN
IN000001407033OtherANTHEM PTAN