Healthcare Provider Details

I. General information

NPI: 1972586568
Provider Name (Legal Business Name): VINAYAK C BELAMKAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 DEPAUW BLVD STE 2082
INDIANAPOLIS IN
46268-1137
US

IV. Provider business mailing address

3500 DEPAUW BLVD STE 2082
INDIANAPOLIS IN
46268-1137
US

V. Phone/Fax

Practice location:
  • Phone: 317-536-4040
  • Fax: 317-536-4222
Mailing address:
  • Phone: 317-431-6012
  • Fax: 317-344-0106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number01049475A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number01049475A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01049475A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number01049475A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: