Individual provider · NPI-1

Ravinder Bamba, MD

Plastic Surgery · Indianapolis, IN

NPI number1841557766
StatusActive
Last updated in NPPESJun 20, 2022

Details

NPI
1841557766
Entity type
Individual (NPI-1)
Name
Ravinder Bamba
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 17, 2012
Certification date
Jun 20, 2022
Last updated
Jun 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery01080540AINYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Phone 317-944-3636 · Fax 317-968-1371

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

545 Barnhill Dr
Indianapolis, IN 46202

Phone 317-278-0394

5841 S Maryland Ave # Mc6035
Chicago, IL 60637-1443

Phone 773-795-1240

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