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Contact Information

CARDIOTHORACIC SURGEONS OF INDIANA LLC
8075 N SHADELAND AVE
SUITE 310
INDIANAPOLIS, IN46250-2693
 Phone: 317-621-8640
 Fax: 317-621-8644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARDIOTHORACIC SURGEONS OF INDIANA LLC · (Female)

NPI Number 1154589554
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2008
Last updated 10/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200910050
  • IN Other 9615187 AETNA
  • IN Other 000000569471 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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