# INDIANA VASCULAR SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053058255
- **Authorized official:** SANJAY MOHINDRA (OWNER)
- **Authorized official phone:** (317) 644-1404

## Contact information

- **Practice address:** 2140 N CAPITOL AVE STE 100, INDIANAPOLIS, IN 46202-1225
- **Practice address phone:** (317) 644-1404
- **Mailing address:** 2140 N CAPITOL AVE STE 100, INDIANAPOLIS, IN 46202-1225
- **Mailing address phone:** (317) 644-1404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 05/18/2022