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Individual

VINEY MATHAVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8240 NAAB RD STE 100, INDIANAPOLIS, IN 46260-1985
(317) 207-7411
Mailing address
8402 HARCOURT RD, 815, INDIANAPOLIS, IN 46260-2074
(317) 872-1158

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01064763A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200911540
IN
Enumeration date
01/07/2008
Last updated
03/01/2023
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