Organization
NEPHROLOGY ASSOCIATES OF INDIANAPOLIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BURDEN D.O. (OWNER)
(317) 682-2038
Entity
Organization
Contact information
Practice address
6350 RUCKER RD, SUITE 103, INDIANAPOLIS, IN 46220-4893
(317) 682-2038
(317) 920-7482
Mailing address
PO BOX 7203, FISHERS, IN 46038-7303
(317) 682-2038
(317) 920-7482
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
02002905A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200540580
—
IN
Enumeration date
09/15/2006
Last updated
12/20/2022
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