IndividualActive
Sanjay Thekkeurumbil, MD
NPI 1902065261 · Colon & Rectal Surgery Physician · Indianapolis, IN
Provider details
- NPI number
- 1902065261
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01071898A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7430 N. Shadeland Ave
Suite 200
Indianapolis, IN 46250
Phone: (317) 621-0668
Fax: (317) 577-7538
Approximate (ZIP-level) locationGet directions
Mailing address
6626 E 75th St
Indianapolis, IN 46250-2890
Registry dates
- Enumerated
- 2008-06-03
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.