Organization · NPI-2

Cardiothoracic Surgeons Of Indiana LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Indianapolis, IN

NPI number1154589554
StatusActive
Last updated in NPPESOct 20, 2008

Details

NPI
1154589554
Entity type
Organization (NPI-2)
Legal business name
Cardiothoracic Surgeons Of Indiana LLC
Organization subpart
No
Enumeration date
Jun 2, 2008
Last updated
Oct 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––Yes

Practice location

8075 N Shadeland Ave
Suite 310
Indianapolis, IN 46250-2693

Phone 317-621-8640 · Fax 317-621-8644

Mailing address

8075 N Shadeland Ave
Suite 310
Indianapolis, IN 46250-2693

Phone 317-621-8640 · Fax 317-621-8644

Authorized official

Thomas A Malasto
Ceo
3176218050

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