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Contact Information

RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC
13431 OLD MERIDIAN STREET
SUITE 225
CARMEL, IN46032
 Phone: 317-249-2616
 Fax: 317-249-2618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand Surgery

207XS0106X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC

NPI Number 1003000399
LBN Legal business name RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC
Authorized official MICHAEL PANNUNZIO - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2007
Last updated 12/09/2025 - About 6 months ago
Identifiers
IN Other 01063681A MEDICAL LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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