Provider Demographics
NPI:1538188412
Name:MOHAMMED-RAJPUT, NAREESA AYESHA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:NAREESA
Middle Name:AYESHA
Last Name:MOHAMMED-RAJPUT
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:NAREESA
Other - Middle Name:AYESHA
Other - Last Name:MOHAMMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:410 W 10TH ST
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3010
Mailing Address - Country:US
Mailing Address - Phone:317-423-5531
Mailing Address - Fax:317-423-5695
Practice Address - Street 1:1001 W 10TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2859
Practice Address - Country:US
Practice Address - Phone:317-630-6233
Practice Address - Fax:317-630-8686
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064762207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist