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Contact Information

GEETA K MANTRAVADI, M.D., M.S.
1633 N CAPITOL AVE
INDIANAPOLIS, IN46202-1261
 Phone: 317-962-0963
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GEETA K MANTRAVADI · (Female)

NPI # 1538328992
Status Active
Credentials M.D., M.S.
Entity Individual
Enumeration date 06/02/2008
Last updated 07/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD038106
  • IL License # 036.133163
  • IL License # 36133163
  • IN License # 01077366A
  • IL Other 0361833163 MEDICAID
  • IL Other 206147 MEDICARE (GROUP PTAN)
  • IL Other F400102247 MEDICARE (INDIVIDUAL PTAN)
  • IL Other CA4748 MEDICARE RAILROAD (GROUP)
  • IL Other P01253181 MEDICARE RAILROAD (INDIVIDUAL)
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • INDIANA UNIVERSITY HEALTH NORTH HOSPITAL - (Acute Care)
    11700 N MERIDIAN ST
    CARMEL, IN 46032
  • IU HEALTH WEST HOSPITAL - (Acute Care)
    1111 N RONALD REAGAN PKWY
    AVON, IN 46123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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