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 (CEO)
(317) 228-7000
Entity
Organization
Contact information
Practice address
1 MEMORIAL SQ STE 2000, GREENFIELD, IN 46140-2835
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214063
ANTHEM
IN
01
—
186950
MEDICARE
IN
05
—
200359410
—
IN
Enumeration date
08/23/2018
Last updated
08/23/2018
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