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Contact Information

NICO MOUSDICAS, MD
755 W CARMEL DR
SUITE 101
CARMEL, IN46032-5877
 Phone: 317-846-2396
 Fax: 317-846-1699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NICO MOUSDICAS · (Male)

NPI Number 1144238650
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2006
Last updated 02/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01061689A
  • IN Medicaid 200488150
  • IN Other 000000334111 ANTHEM
  • IN Other 000000563670 ANTHEM
Hospital affiliation(s) Not Available
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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