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Organization

INDIANA CARDIAC & VASCULAR CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HABIB JOHN KOMARI MD (CEO/OWNER)
(317) 887-7700
Entity
Organization

Contact information

Practice address
1350 E COUNTY LINE RD, SUITE H, INDIANAPOLIS, IN 46227-0873
(317) 887-7700
(317) 887-7728
Mailing address
1350 E COUNTY LINE RD, SUITE H, INDIANAPOLIS, IN 46227-0873
(317) 887-7700
(317) 887-7728

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100120900
IN
Enumeration date
07/11/2006
Last updated
07/25/2008
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