Individual provider · NPI-1

Dr. Abhigyan Ratan Banka, M.D.

Family Medicine · Beech Grove, IN

NPI number1609121847
StatusActive
Last updated in NPPESFeb 20, 2023

Details

NPI
1609121847
Entity type
Individual (NPI-1)
Name
Dr. Abhigyan Ratan Banka
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 13, 2012
Certification date
Feb 20, 2023
Last updated
Feb 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01075178AINYes
207Q00000X Family Medicine05745GA

Practice location

2030 Churchman Ave Ste A
Beech Grove, IN 46107-1044

Phone 317-786-9285 · Fax 317-781-2793

Mailing address

Po Box 781076
Detroit, MI 48278-1076

Phone 317-528-4800 · Fax 317-865-1479

Other practice locations

55 N Milford Dr
Franklin, IN 46131-7308

Phone 317-739-4848 · Fax 317-346-4062

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