Individual
COREY MONDUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-9981
(317) 944-0282
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
67.000418
OH
367H00000X
Anesthesiologist Assistant
Primary
75000192A
IN
367H00000X
Anesthesiologist Assistant
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Other
Enumeration date
08/09/2021
Last updated
08/22/2025
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