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 (CHIEF EXECUTIVE OFFICER)
(317) 228-7000
Entity
Organization
Contact information
Practice address
112 HOSPITAL LN, BLDG. 2, SUTE 301, DANVILLE, IN 46122-1977
(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
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200359410
—
IN
Enumeration date
03/13/2012
Last updated
03/29/2017
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