Individual
JAMES W VANTASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 NAAB RD STE 400, INDIANAPOLIS, IN 46260-1992
(317) 338-6666
(317) 338-6066
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01025466A
IN
207RI0011X
Interventional Cardiology Physician
Primary
01025466A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370050
—
IN
Enumeration date
04/21/2006
Last updated
10/02/2014
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