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

Dr. Shiva Prasad Gangadhar, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1043585946

Dr. Shiva Prasad Gangadhar, MD is a Physical Medicine and Rehabilitation in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Rehabilitation Associates of in PC, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6330 E 75th St Ste 110
Indianapolis, IN 46250-2777
Phone: (317) 588-7149
Fax: (317) 588-7150
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 01075188A (IN)

Record details

NPI number1043585946
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 12, 2012
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Rehabilitation Associates Of In Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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