Organization
ANDERSON GENERAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD REZA SIADATI M.D. (OWNER/PHYSICIAN)
(765) 278-4227
Entity
Organization
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 205, ANDERSON, IN 46011-3458
(765) 298-4250
(765) 298-4960
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01048160A
IN
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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