CENTRAL INDIANA UROLOGY PC NPI 1356882401

NPI Information

  • NPI: 1356882401
  • Provider Name: CENTRAL INDIANA UROLOGY PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 15D2127402
  • Address: 8902 N MERIDIAN ST
    SUITE 135
    INDIANAPOLIS, IN
    ZIP 46260
  • Phone: (317) 689-0753

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NPI Details

CENTRAL INDIANA UROLOGY PC is an urology in Indianapolis, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. CENTRAL INDIANA UROLOGY PC NPI is 1356882401. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8902 N MERIDIAN ST
SUITE 135
INDIANAPOLIS, IN
ZIP 46260-382
Phone: (317) 689-0753

The provider's authorized official is Steven Kim .
The authorized official title is Medical Director and has the following contact phone number (317) 689-1753.

The CLIA number assigned to this NPI record is 15D2127402 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2017 and was last updated on 3/23/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology01065756AINDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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