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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

NPI Number 1154589554
LBN Legal business name CARDIOTHORACIC SURGEONS OF INDIANA LLC
Authorized official THOMAS MALASTO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2008
Last updated 10/20/2008 - About 18 years ago
Identifiers
IN Medicaid 200910050
IN Other 9615187 AETNA
IN Other 000000569471 ANTHEM
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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