Organization
INDIANA SPINE GROUP, PC
Active
Parent organization
INDIANA SPINE GROUP, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA SPINE GROUP, PC
Authorized official
HARDEEP SIKAND (CEO)
(317) 228-7000
Entity
Organization
Contact information
Practice address
821 N DIXON RD, KOKOMO, IN 46901-1754
(765) 450-0111
(765) 553-5504
Mailing address
13225 N MERIDIAN ST, CARMEL, IN 46032-5480
(317) 228-7000
(317) 228-2321
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000214063
ANTHEM GROUP NUMBER
IN
05
—
200359410-C
—
IN
01
—
366735000
US POSTAL SERVICE WORKERS
IN
01
—
CJ8084
MEDICARE RAILROAD
IN
Enumeration date
01/30/2008
Last updated
05/27/2016
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