Provider Demographics
NPI:1124155833
Name:MOHCI
Entity type:Organization
Organization Name:MOHCI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIGRAMA
Authorized Official - Middle Name:ANJANIGOWDA
Authorized Official - Last Name:RANGANATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-352-4333
Mailing Address - Street 1:20 GRAPEVINE CT
Mailing Address - Street 2:
Mailing Address - City:W LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-9047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6900 ENGLISH AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-7416
Practice Address - Country:US
Practice Address - Phone:317-352-4333
Practice Address - Fax:317-352-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01040697A261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine