Organization
INDY VASCULAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON GAYLON HALUM III MD (PRESIDENT)
(317) 490-8352
Entity
Organization
Contact information
Practice address
12315 HANCOCK ST STE 24, CARMEL, IN 46032-5885
(317) 708-3732
(888) 316-7962
Mailing address
12650 SHOREVISTA DR, INDIANAPOLIS, IN 46236-9342
(317) 490-8352
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
07/25/2024
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