Provider Demographics
NPI:1831220938
Name:SANDO, WILLIAM C (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:SANDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5234 OLYMPIA DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-2239
Mailing Address - Country:US
Mailing Address - Phone:317-259-7991
Mailing Address - Fax:317-776-7714
Practice Address - Street 1:9700 E 146TH ST STE 150
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4333
Practice Address - Country:US
Practice Address - Phone:317-776-7700
Practice Address - Fax:317-776-7714
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN50003401A208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN274080AMedicare ID - Type Unspecified
INE03640Medicare UPIN