Organization
ORTHOPEDIC AND SPINE SURGERY LLC
Active
Other names
Midwest Spine Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
RAVISHANKAR VEDANTAM M.D. (CO-OWNER)
(765) 983-3373
Entity
Organization
Contact information
Practice address
1050 REID PKWY, STE 100, RICHMOND, IN 47374-1156
(765) 983-3373
(765) 983-3413
Mailing address
1050 REID PKWY, STE 100, RICHMOND, IN 47374-1156
(765) 983-3373
(765) 983-3413
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455970A
—
IN
05
—
2524049
—
OH
Enumeration date
05/18/2006
Last updated
06/03/2014
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