Healthcare Provider Details

I. General information

NPI: 1568598225
Provider Name (Legal Business Name): VINCENT J. FLANDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10603 N MERIDIAN ST
CARMEL IN
46290-1055
US

IV. Provider business mailing address

3502 WOODVIEW TRCE
INDIANAPOLIS IN
46268-3181
US

V. Phone/Fax

Practice location:
  • Phone: 317-328-3747
  • Fax: 317-489-5166
Mailing address:
  • Phone: 173-283-3747
  • Fax: 317-489-5166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number01069209A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01069209A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: