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Contact Information

ANDREW J SONDERMAN, MD
8102 CLEARVISTA PKWY
INDIANAPOLIS, IN46256-1661
 Phone: 317-849-8222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ANDREW J SONDERMAN · (Male)

NPI Number 1952341604
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 10/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01040428
  • IN License # 01040428A
  • IN Medicaid 200060540
Hospital affiliation(s)
  • FAIRBANKS - (Acute Care)
    8102 CLEARVISTA PARKWAY
    INDIANAPOLIS, IN 46256
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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