Provider Demographics
NPI:1992874051
Name:JAGER, RAMA M (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:RAMA
Middle Name:M
Last Name:JAGER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 E 86TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1852
Mailing Address - Country:US
Mailing Address - Phone:317-418-8110
Mailing Address - Fax:317-252-5757
Practice Address - Street 1:931 E 86TH ST STE 107
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1852
Practice Address - Country:US
Practice Address - Phone:317-418-8110
Practice Address - Fax:317-252-5757
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01028376A208600000X, 208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE13992Medicare UPIN
IN114280AMedicare ID - Type Unspecified