Organization
CARDIAC & VASCULAR PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER PANTE MANALO MD (DIRECTOR)
(317) 791-1743
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE, SUITE N, INDIANAPOLIS, IN 46237-8668
(317) 859-3095
(317) 791-1765
Mailing address
PO BOX 781348, INDIANAPOLIS, IN 46278-8348
(317) 791-1743
(317) 791-1765
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
IN01040595A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20061410
—
IN
Enumeration date
08/09/2006
Last updated
07/21/2022
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