Individual
DR. MAURO AMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 S STATE ROAD 135 STE 310, GREENWOOD, IN 46143-5527
(317) 497-2400
(317) 497-2515
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01096178A
IN
207Q00000X
Family Medicine Physician
31446
MS
207Q00000X
Family Medicine Physician
35.138734
OH
207Q00000X
Family Medicine Physician
66230
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
09/15/2025
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