Provider Demographics
NPI:1477749273
Name:VILANO, SAMANTHA ERIN (MSC, MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:ERIN
Last Name:VILANO
Suffix:
Gender:F
Credentials:MSC, MD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:ERIN
Other - Last Name:MONTGOMERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSC, MD
Mailing Address - Street 1:550 N UNIVERSITY BLVD
Mailing Address - Street 2:UH 2440
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:317-944-7034
Mailing Address - Fax:
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:UH 2440
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5149
Practice Address - Country:US
Practice Address - Phone:317-944-7034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-15
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088463207V00000X
OH35.095308207V00000X
IN01071166A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology