IndividualActive
Sanjay Mohanty, MD
NPI 1790071280 · Colon & Rectal Surgery Physician · Indianapolis, IN
Provider details
- NPI number
- 1790071280
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301099184 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
550 University Blvd Ste 1295
Indianapolis, IN 46202-5149
Phone: (317) 944-0931
Approximate (ZIP-level) locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.