Provider Demographics
NPI:1861930042
Name:RAMAN, NATASHA (NP)
Entity type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:
Last Name:RAMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:VIRJEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 RILEY HOSPITAL DR # 1134
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-396-1401
Practice Address - Fax:317-396-1480
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007345A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN068010486OtherMEDICARE
IN300006960Medicaid