Organization
INDIANA SPINE GROUP, PC
Active
Parent organization
INDIANA SPINE GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA SPINE GROUP, PC
Authorized official
HARDEEP SIKAND MBA (CEO)
(317) 228-7000
Entity
Organization
Contact information
Practice address
1115 N. RONALD REAGAN PKWY., SUITE 148, AVON, IN 46123-6913
(317) 228-7000
(317) 228-2321
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
50004386A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214063
ANTHEM
IN
Enumeration date
05/24/2013
Last updated
05/27/2016
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