Individual
DR. SANJAY VIJAYA THEKKEURUMBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7430 N. SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250
(317) 621-0668
(317) 577-7538
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1647
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
01071898A
IN
Other
Enumeration date
06/03/2008
Last updated
06/08/2021
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