Healthcare Provider Details

I. General information

NPI: 1851223937
Provider Name (Legal Business Name): SOUTHERN INDIANA CARDIOLOGY ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 GREEN VALLEY RD
NEW ALBANY IN
47150-4645
US

IV. Provider business mailing address

2109 GREEN VALLEY RD
NEW ALBANY IN
47150-4645
US

V. Phone/Fax

Practice location:
  • Phone: 502-396-0967
  • Fax:
Mailing address:
  • Phone: 502-396-0967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SRINIVASARAO MANCHIKALAPUDI
Title or Position: MANAGER
Credential: M.D.
Phone: 502-396-0967