# CENTRAL INDIANA UROLOGY PC

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

## Provider details

- **NPI number:** 1356882401
- **Authorized official:** STEVEN KIM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (317) 689-1753

## Contact information

- **Practice address:** 8902 N MERIDIAN ST, SUITE 135, INDIANAPOLIS, IN 46260-5382
- **Practice address phone:** (317) 689-0753
- **Mailing address:** 8902 N MERIDIAN ST, SUITE 135, INDIANAPOLIS, IN 46260-5382
- **Mailing address phone:** (317) 689-0753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01065756A | IN | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/23/2017