Individual
SANDY BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7910 E WASHINGTON ST STE 200, INDIANAPOLIS, IN 46219-5563
(317) 355-7171
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-9312
(317) 621-6920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01079930A
IN
207Q00000X
Family Medicine Physician
125066142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300015259
—
IN
Enumeration date
07/14/2015
Last updated
01/05/2026
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