Organization
INDIANA SPINE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDEEP SIKAND (CHIEF EXECUTIVE OFFICER)
(317) 228-7000
Entity
Organization
Contact information
Practice address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(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
111N00000X
Chiropractor
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214063
ANTHEM GROUP NUMBER
IN
05
—
200359410
—
IN
01
—
366735000
US DEPARTMENT OF LABOR
IN
01
—
CJ8084
MEDICARE RAILROAD
IN
Enumeration date
10/02/2006
Last updated
08/30/2023
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