National Provider Identifier Database

INTERNATIONAL MEDICAL SURGICAL CENTER LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

INTERNATIONAL MEDICAL SURGICAL CENTER, LLC
6925 E 96TH ST STE 200
INDIANAPOLIS, IN46250-3654
Phone: 317-489-3265
Fax: 317-489-3714
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for INTERNATIONAL MEDICAL SURGICAL CENTER, LLC

NPI Number 1417641606
Legal business name
LBN
INTERNATIONAL MEDICAL SURGICAL CENTER, LLC
Authorized official JOSUE VILLALTA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/08/2023
Last updated 04/04/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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