IndividualActive
George Revtyak, MD
NPI 1902867286 · Interventional Cardiology Physician · Indianapolis, IN
Provider details
- NPI number
- 1902867286
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 23373 (NE)
Practice location
1801 N Senate Blvd
Suite 310
Indianapolis, IN 46202-1228
Phone: (317) 962-2500
Fax: (317) 962-2515
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.