MR. RUDRAPPA GANGADHAR


Address: 2401 W. University Ave, Muncie, IN 47303-3428
Phone: 7657473134

MR. RUDRAPPA GANGADHAR (NPI# 1639252265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639252265
Entity Type Individual
Full Name MR. RUDRAPPA GANGADHAR
Credential MD
Practice Address 2401 W. University Ave
Muncie
IN 47303-3428
Mailing Address Po Box 30309
Charleston
SC 29417-0309
Practice Telephone 7657473134
Practice Fax Number 7657412905
Mailing Telephone 8435549300
Mailing Fax Number 8435668780
Enumeration Date 2006-10-24
Last Update Date 2010-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
01027269A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLACK LUNG 020434700 01
IN 100077010 05
IN BLUE CROSS BLUE SHIELD 000000386864 01
IN PHYSICIAN HEALTH PLAN 6470 01
IN M-PLAN 000000033875 01
OH 0894797 05
OH 2099554 05

Office Location

Street Address 2401 W. UNIVERSITY AVE
City MUNCIE
State IN
Zip Code 47303-3428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902047996 Rodney Joe Ong Yuhico Internal Medicine 2401 W. University Ave, Muncie, IN 47303 2009-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144790726 Elisabeth Marriah Bernal Nurse Practitioner 2525 W University Ave Suite 300, Muncie, IN 47303 2018-11-27
1013413806 Charles Austin Curtis Student in an Organized Health Care Education/Training Program Iu Health Ball Memorial Family Medicine Residency, 221 North Celia Avenue, Muncie, IN 47303 2018-04-02
1730607359 Ronald Settles Home Health 1812 Carver Dr, Muncie, IN 47303 2017-09-04
1932635034 Abigail Chilsen Student in an Organized Health Care Education/Training Program 221 North Celia Avenue, Iu Health Ball Memorial Family Medicine Residency, Muncie, IN 47303 2017-05-10
1780117176 Adil Khan Internal Medicine Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 2017-04-04
1508212044 Erick Reece Christensen Student in an Organized Health Care Education/Training Program 2525 W University Ave Iu Health Ball Memorial Hospital, Suite 401, Muncie, IN 47303 2016-05-13
1700230075 Mallory Nebergall Student in an Organized Health Care Education/Training Program 2525 W. University Ave. Ste 401, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2016-04-22
1811341282 Padmini Parameswaran Student in an Organized Health Care Education/Training Program 2525 W. University Ave, Suite 401, Muncie, IN 47303 2016-04-21
1437557345 Great Lakes Family Dental Group-muncie, P.C. Dentist 1003 W. Mcgalliard Road, Muncie, IN 47303 2014-12-09
1194145185 Swetha Boddeda Student in an Organized Health Care Education/Training Program 2401 W University Lane, Iu Health Ball Memorial Hospital, Muncie, IN 47303 2014-04-17
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Taxonomy Information

Taxonomy Code 207ZP0102X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Anatomic Pathology & Clinical Pathology

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194022160 Muhammad Imran Zulfiqar Pathology 2401 W University Ave, Muncie, IN 47303-3428 2011-02-27
1326201187 Megan Patricia Redelman Pathology 2401 W University Ave, Muncie, IN 47303-3428 2008-07-02
1093910572 Michael Robert Steckbauer Pathology 2401 W University Ave, Muncie, IN 47303-3428 2007-06-15
1982806980 Jolene Renee Clouse Pathology 2401 W University Ave, Muncie, IN 47303-3428 2007-06-01
1114129202 Susan L Allen Pathology 2401 W University Ave, Muncie, IN 47303-3428 2007-06-01
1043393630 James R Baldwin Pathology 2401 W University Ave, Muncie, IN 47303-3428 2006-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225558125 Nichole Landry Lepage Pathology 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 2017-06-21
1871904532 Michael J Hwang Pathology 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 2014-05-15
1720405814 Jared Cobb Pathology 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 2014-03-26
1629337522 Christin Hweisi Tsao Pathology 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 2012-05-11
1275779027 Rick Bains Pathology 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 2008-12-29
1164677423 Phoenix Clinical Labs Inc Pathology 8755 Guion Rd, Indianapolis, IN 46268-3047 2008-11-28
1457502841 Swarna S Sikdar Pathology 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 2008-10-04
1780848812 Dean Harvey Lauer Pathology 2303 Throughwoods Dr, Valparaiso, IN 46385-7303 2008-07-17
1063612976 Isabelle Ann Buehl Pathology 7994 West Road 75 North, Bargersville, IN 46106-9518 2007-07-19
1639378250 Christopher Michael Carter Pathology 601 W 2nd St Rm 216, Bloomington, IN 47403 2007-07-13
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Competitor

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City MUNCIE
Zip Code 47303

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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