# CARDIOTHORACIC SURGEONS OF INDIANA LLC

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

## Provider details

- **NPI number:** 1154589554
- **Authorized official:** THOMAS A MALASTO (CEO)
- **Authorized official phone:** (317) 621-8050

## Contact information

- **Practice address:** 8075 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46250-2693
- **Practice address phone:** (317) 621-8640
- **Practice address fax:** (317) 621-8644
- **Mailing address:** 8075 N SHADELAND AVE, SUITE 310, INDIANAPOLIS, IN 46250-2693
- **Mailing address phone:** (317) 621-8640
- **Mailing address fax:** (317) 621-8644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 10/20/2008