MEDICARE: DR. PRODROMOS TSINASLANIDIS MD, MRCS, MSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	11024588A	IN

General Provider Information

NPI Number	:	1144107749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRODROMOS TSINASLANIDIS MD, MRCS, MSC

Provider Business Mailing Address
First Line	:	1117 E MARKET ST APT 515
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-4236
Country	:	US
Telephone Number	:	317-229-5459
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 UNIVERSITY BLVD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5149
Country	:	US
Telephone Number	:	317-944-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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