MEDICARE: SVEN E INDA M.D.

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	207P00000X	Emergency Medicine Physician	35086974	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386602993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SVEN E INDA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9626
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89507
Country	:	US
Telephone Number	:	859-992-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 ALBERT SABIN WAY
Second Line	:	1505 MEDICAL SCIENCES BUILDING
City	:	CINCINNATI
State	:	OH
Zip	:	45267
Country	:	US
Telephone Number	:	859-992-1655
Fax Number	:

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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Directions to “ SVEN E INDA M.D.” Practice Location

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