Organization
I-SPINE, LLC
Active
Organization
I-SPINE, LLC
Active
Other names
i-Spine Institute, Ortho & Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
MADHU RAO DO (CEO)
(574) 252-2663
Entity
Organization
Contact information
Practice address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-2663
(574) 252-5940
Mailing address
615 FULMER RD, MISHAWAKA, IN 46544-6911
(574) 252-2663
(574) 252-5940
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
Other
Enumeration date
04/29/2008
Last updated
08/30/2022
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