Indiana Neurology and Pain Center LLC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

01067436A Issued in IN

Legal business name

INDIANA NEUROLOGY AND PAIN CENTER LLC

Practice address

6920 Parkdale Place
Suite 215
Indianapolis, IN 46254

Phone

(405) 408-6154

NPI assigned

Sep 15, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samiullah K Kundi, MDNPI 1932249323

Title

Sole Member

Phone

(317) 939-6100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samiullah Khan Kundi, MD

  • Pain Medicine Physician
  • Indianapolis, IN
  • NPI 1932249323
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1912426461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545611",
            "telephone_number": "317-939-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PLACE",
            "address_2": "SUITE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46254",
            "telephone_number": "405-408-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA NEUROLOGY AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "KUNDI",
        "authorized_official_first_name": "SAMIULLAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "317-939-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "IN",
            "license": "01067436A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Mothers' Milk Bank, Inc
• Indiana Mothers' Milk Bank, Inc.
• Indiana Nephrology and Internal Medicine, P.C.
• Indiana Neurology and Pain Center LLC
• Indiana Neurology and Pain Center LLC
• Indiana Neuroscience Assoc Inc
• Indiana Neuroscience Associates
• Indiana Neuroscience Associates
• Indiana Neuroscience Associates
• Indiana OB/GYN P.C.

• Pain Medicine (Psychiatry & Neurology) Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.