OrganizationActive
Vantage Cancer Care Network of Indiana, LLC
NPI 1245633122 · Medical Oncology Physician · Indianapolis, IN
Provider details
- NPI number
- 1245633122
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vantage Cancer Care Networks, LLC
- Organization subpart
- Yes
- Authorized official
- Steven Udicious, Vice President, General Counsel(610) 519-0550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Radiation Oncology Physician2085R0001X
Allopathic & Osteopathic Physicians
Practice location
8902 N Meridian St
Suite 104
Indianapolis, IN 46260-5382
Phone: (317) 853-4500
Approximate (ZIP-level) locationGet directions
Mailing address
1500 Rosecrans Ave
Manhattan Beach, CA 90266-3763
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2014-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.