Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bioidentical LLC

Organization Internal Medicine Physician · NPI 1164792560

Bioidentical LLC is an Internal Medicine Physician in Indianapolis, Indiana. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4725 Statesmen Dr
Indianapolis, IN 46250-5644
Phone: (317) 436-7469
Fax: (317) 436-7487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1164792560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bala Rangaswami — Owner · (317) 436-7469
Other names Mybio
NPI enumeratedJanuary 3, 2012
Last updated in NPPESJanuary 3, 2012
Mailing address4725 Statesmen Dr, Indianapolis, IN 46250-5644

Other providers in Indianapolis