Individual provider · Type 1 NPI

Opkardeep Tut

Surgical Physician Assistant · Indianapolis, IN

NPI number 1407398266 Active

Practice location

6470 N Shadeland Ave Ste D
Indianapolis, IN 46220-4386

Call (317) 598-0094 Map

Fax (317) 468-9202

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X53853 (CA)
Surgical Physician Assistant Primary 363AS0400X10002156A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1407398266

Opkardeep Tut's National Provider Identifier is 1407398266, issued on Nov 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 6, 2021.