MEDICARE: DIALYSIS VASCULAR SPECIALISTS OF INDIANA LLC

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	2085R0204X	Vascular & Interventional Radiology Physician

General Provider Information

NPI Number	:	1770220972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIALYSIS VASCULAR SPECIALISTS OF INDIANA LLC

Provider Business Mailing Address
First Line	:	2140 N CAPITOL AVE STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1225
Country	:	US
Telephone Number	:	317-644-1404
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 N CAPITOL AVE STE 100
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-1225
Country	:	US
Telephone Number	:	317-644-1404
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANJAY MOHINDRA
Credential	:
Telephone Number	:	317-644-1404

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	05/18/2022

Similar Medicare Providers

1982631990 — INDIANA UNIVERSITY HEALTH INC
Practice Location Address:

2140 N CAPITOL AVE
INDIANAPOLIS, IN
46202-1225

Practice Phone: 317-920-3400
Practice Fax:

1427365113 — KEVIN MICHAEL JANDA JR. RD, CD
Practice Location Address:

2140 N CAPITOL AVE
INDIANAPOLIS, IN
46202-1225

Practice Phone: 317-920-3400
Practice Fax:

1700265634 — ERIC CHARLES SMUCLOVISKY M.D.
Practice Location Address:

2140 N CAPITOL AVE
INDIANAPOLIS, IN
46202-1225

Practice Phone: 317-349-7909
Practice Fax:

1053058255 — INDIANA VASCULAR SURGERY CENTER LLC
Practice Location Address:

2140 N CAPITOL AVE STE 100
INDIANAPOLIS, IN
46202-1225

Practice Phone: 317-644-1404
Practice Fax:

1275418345 — CANDYCE NICOLE JOHNSON NP
Practice Location Address:

2104 N CAPITOL AVE
INDIANAPOLIS, IN
46202-1225

Practice Phone: 317-644-1404
Practice Fax:

1326033119 — MS. SUE ANN LAZAR MSN
Practice Location Address:

1225 W 86TH ST
INDIANAPOLIS, IN
46260-2203

Practice Phone: 317-253-6427
Practice Fax:

Directions to “DIALYSIS VASCULAR SPECIALISTS OF INDIANA LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.