# INDIANA SPINE GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA SPINE GROUP, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508220633
- **Legal business name:** INDIANA SPINE GROUP, PC
- **Authorized official:** HARDEEP SIKAND (CEO)
- **Authorized official phone:** (317) 228-7000

## Contact information

- **Practice address:** 747 E. COUNTY LINE RD., SUITE L, GREENWOOD, IN 46143-1082
- **Practice address phone:** (317) 893-1960
- **Practice address fax:** (317) 851-9728
- **Mailing address:** 13225 N MERIDIAN ST, CARMEL, IN 46032-5480
- **Mailing address phone:** (317) 228-7000
- **Mailing address fax:** (317) 228-2321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 50004386A | IN | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 50004386A | IN | — |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000214063 | ANTHEM | IN |
| 05 | — | 200359410 | — | IN |