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Organization
INDIANA SPINE GROUP, PC
Active
Organization
INDIANA SPINE GROUP, PC
Active
Parent organization
INDIANA SPINE GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA SPINE GROUP, PC
Authorized official
HARDEEP SIKAND (CEO)
(317) 228-7000
Entity
Organization
Contact information
Practice address
747 E. COUNTY LINE RD., SUITE L, GREENWOOD, IN 46143-1082
(317) 893-1960
(317) 851-9728
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
50004386A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
50004386A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214063
ANTHEM
IN
05
—
200359410
—
IN
Enumeration date
04/05/2016
Last updated
04/05/2016
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