Individual
DR. NICHOLAY TEODOROVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N CAPITOL AVE, E 371, INDIANAPOLIS, IN 46202-1218
(317) 962-0095
(317) 962-0113
Mailing address
1800 N CAPITOL AVE, E 371, INDIANAPOLIS, IN 46202-1218
(317) 962-0095
(317) 962-0113
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
11015512-A
IN
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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