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MANDELBAUM SURGICAL PC NPI 1144314097


NPI Information

NPI: 1144314097
Provider Name: MANDELBAUM SURGICAL PC

Doing Business As: INDY SOUTHSIDE SURGICAL

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
5255 E STOP 11 RD
SUITE 450
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 856-4800
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MANDELBAUM SURGICAL PC is a surgery in Indianapolis, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MANDELBAUM SURGICAL PC NPI is 1144314097. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Indy Southside Surgical.

The provider's business location address is:

5255 E STOP 11 RD
SUITE 450
INDIANAPOLIS, IN
ZIP 46237-340
Phone: (317) 856-4800
Fax: (317) 865-4806

The provider's authorized official is Dena L Petty .
The authorized official title is Manager and has the following contact phone number (317) 865-4800.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CE6013OTHERINDIANARR MEDICARE GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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