Provider Demographics
NPI:1669982492
Name:US ACCESS CARE OF INDIANAPOLIS, LLC
Entity type:Organization
Organization Name:US ACCESS CARE OF INDIANAPOLIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHINDRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-520-0773
Mailing Address - Street 1:201 NORTH ILLINOIS ST
Mailing Address - Street 2:16TH FLOOR - SOUTH TOWER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:317-970-0477
Mailing Address - Fax:317-970-0476
Practice Address - Street 1:201 NORTH ILLINOIS ST
Practice Address - Street 2:16TH FLOOR - SOUTH TOWER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-4618
Practice Address - Country:US
Practice Address - Phone:650-520-0773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty