Whalio Doctors

NPI 1063854651

Gordon Guanxiong Mao, MD

Practitioner Neurological Surgery Physician Indianapolis, IN

Practice location

Address
355 W. 16th Street Goodman Hall Suite 5100, Indianapolis, IN 46202
Phone
(317) 963-1300
Mailing address
250 N Shadeland Ave, Indianapolis, IN 46219-4959

Registered specialties (3)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01085850A (IN)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01085850B (IN)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MT2050 (PA)

Registry record

NPI
1063854651
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Jul 2013
Record last updated
17 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.