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Contact Information

KOPPOLU P SARMA MD INC
300 W 61ST AVE
CENTER FOR IMAGING AND RADIATION
HOBART, IN46342-6490
 Phone: 219-942-5745
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KOPPOLU P SARMA MD INC · (Female)

NPI # 1942257019
Status Active
Credentials
Entity Individual
Enumeration date 05/27/2006
Last updated 10/26/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 01027669A
  • IN Medicaid 100213740A
  • IN Medicaid 200008710A
Hospital affiliation(s) Not Available
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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