Fajardo, Andres

Fajardo, Andres is an individual health care provider with primary practice located at 1801 N Senate Blvd Mpc2 Suite 3500, Indianapolis IN 46202-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Fajardo, Andres can be contacted via phone (317) 962-0280.

Contact Information

Primary practice address
1801 N Senate Blvd Mpc2 Suite 3500 Indianapolis IN 46202-1228
Phone: (317) 962-0280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01065981A Indiana

Profile Details

NPI number 1447417829
LBN Legal business name Fajardo, Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Aug 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447417829 NPPES
Indiana MEDICAID 200980740
Indiana Other 815500263
Indiana Other P00911441
Indiana Other M400018709

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