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Contact Information

THOMAS E SOUTHERN, MD
3520 GUION RD
STE 301
INDIANAPOLIS, IN46222-1672
 Phone: 317-926-1356
 Fax: 317-926-1465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THOMAS E SOUTHERN · (Male)

NPI Number 1104996370
Status Active
Credentials MD
Entity Individual
Enumeration date 11/08/2006
Last updated 03/19/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01023497A
  • IN Medicaid 100073340A
  • IN Other 000000762785 BCBS
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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