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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS E SOUTHERN, MD

Active Sole Proprietor

THOMAS E SOUTHERN, MD is a Plastic and Reconstructive Surgery healthcare provider located in INDIANAPOLIS, Indiana. NPI 1104996370 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · INDIANAPOLIS, IN

Registration Details

NPI Number
1104996370
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.759814673584 yrs)
Last Updated
Mar 19, 2013
Licenses
01023497A (IN)
01023497A (IN)
01023497A (IN)
01023497A (IN)
01023497A (IN)
Sole Proprietor
Yes

Practice Information

Address
3520 GUION RD
STE 301
INDIANAPOLIS, IN, 462221672
Browse IN providers · Browse ZIP 46222
Phone
3179261356
Fax
3179261465
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
Surgery of the Hand (Plastic)
Additional Specialty
Surgery of the Hand

Other Plastic and Reconstructive Surgery Providers in INDIANAPOLIS, IN

Name Credential NPI
DR. WILLIAM A WOODEN MD 1558344697
JASON R CACIOPPO M.D. 1720043193
ADAM C COHEN MD 1508819210
ALAN MICHAEL SADOVE MD 1104850262
DR. JOHN J. COLEMAN III M.D. 1033120340
CHARLES WALLACE ZOLLMAN M.D. 1083715510
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.