Nilesh Gangan
Physical Therapist in Indianapolis, IN. Individual provider (NPI-1).
NPI number1669947693
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1669947693
- Entity type
- Individual (NPI-1)
- Name
- Nilesh Gangan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2018
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
4950 E Stop 11 Rd Ste BIndianapolis, IN 46237-9104
Phone 317-859-5857 · Fax 317-865-2265
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
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