# CARDIOTHORACIC SPECIALTIES

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

## Provider details

- **NPI number:** 1770730764
- **Authorized official:** NABIL MNAYARJI MD (OWNER)
- **Authorized official phone:** (812) 234-8261

## Contact information

- **Practice address:** 1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
- **Practice address phone:** (812) 234-8261
- **Practice address fax:** (812) 234-8262
- **Mailing address:** PO BOX 10504, TERRE HAUTE, IN 47801-0504
- **Mailing address phone:** (812) 234-8261
- **Mailing address fax:** (812) 234-8262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 01048818 | IN | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008