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Dr. Mauro Amendola, M.D.

Family Medicine in Greenwood, IN. Individual provider (NPI-1).

NPI number1255794871
StatusActive
Last updated in NPPESSep 15, 2025

Details

NPI
1255794871
Entity type
Individual (NPI-1)
Name
Dr. Mauro Amendola
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 31, 2016
Certification date
Sep 15, 2025
Last updated
Sep 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01096178AINYes
207Q00000X Family Medicine35.138734OH
207Q00000X Family Medicine31446MS
390200000X Student in an Organized Health Care Education/Training Program––
207Q00000X Family Medicine66230TN

Practice location

3000 S State Road 135 Ste 310
Greenwood, IN 46143-5527

Phone 317-497-2400 · Fax 317-497-2515

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

6024 Hoover Rd
Grove City, OH 43123-8133

Phone 614-875-8949

8110 Cordova Rd Ste 111
Cordova, TN 38016-0522

Phone 901-752-6963 · Fax 901-432-0070

7736 Airways Blvd
Southaven, MS 38671-5306

Phone 662-772-3700 · Fax 662-772-3719

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