Individual
VINCE NARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8075 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46250-2694
(317) 621-8500
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34.012115
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
02007958A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
34.012115
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169616
—
OH
Enumeration date
06/20/2011
Last updated
08/12/2024
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