Indy Southside Surgical

LBN: Mandelbaum Surgical Pc
Indy Southside Surgical is an health care organization with primary practice located at 5255 E Stop 11 Rd Suite 450, Indianapolis IN 46237-6340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mandelbaum Surgical Pc can be contacted via phone (317) 856-4800, or through Petty, Dena L via phone (317) 865-4800.

Contact Information

Primary practice address
5255 E Stop 11 Rd Suite 450 Indianapolis IN 46237-6340
Phone: (317) 856-4800
Fax: (317) 865-4806
Website:
Map and Directions
Authorized official contact:
Name: Petty, Dena L
Phone: (317) 865-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1144314097
LBN Legal business name Mandelbaum Surgical Pc
DBA Doing business as Indy Southside Surgical
Authorized official Petty, Dena L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144314097 NPPES
Indiana Other CE6013 RR MEDICARE GROUP NUMBER

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