GAUTHAM GANESAN MD
NPI 1255299988
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since January 12, 2026
350 W 14TH ST # HA-6063, INDIANAPOLIS, IN 46202(317) 274-4343 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gautham Ganesan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUTHAM GANESAN MD (NPI 1255299988) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11024630A) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1255299988
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAUTHAM GANESANCredential: MD
Location Address350 W 14TH ST # HA-6063Indianapolis, IN 46202-2369
Mailing Address350 W 14th St # Ha-6063Indianapolis, IN 46202-2369 · (317) 274-4343
Sole ProprietorNo
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1255299988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IN · 11024630A
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

350 W 14TH ST # HA-6063, Indianapolis, IN 46202

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
350 W 14TH ST # HA-6063
INDIANAPOLIS, IN 46202
Anesthesiology
350 W 14TH ST # HA-6063
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gautham Ganesan's NPI number?

The NPI number for Gautham Ganesan is 1255299988. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Gautham Ganesan located?

Gautham Ganesan practices at 350 W 14th St # Ha-6063, Indianapolis, IN 46202. The listed phone number is (317) 274-4343.

What is Gautham Ganesan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gautham Ganesan was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.