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Organization

CARDIOTHORACIC SPECIALTIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NABIL MNAYARJI MD (OWNER)
(812) 234-8261
Entity
Organization

Contact information

Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 234-8261
(812) 234-8262
Mailing address
PO BOX 10504, TERRE HAUTE, IN 47801-0504
(812) 234-8261
(812) 234-8262

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01048818
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200199020A
IN
Enumeration date
08/21/2008
Last updated
08/21/2008
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