NPI 1144238650

Nico Mousdicas, MD

Practitioner Dermatology Physician Carmel, IN

Practice location

Address: 755 W Carmel Dr Suite 101, Carmel, IN 46032-5877
Phone: (317) 846-2396
Fax: (317) 846-1699
Mailing address: 250 N Shadeland Ave STE 130 Provider Enrollment, Indianapolis, IN 46219-4959

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01061689A (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1144238650
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 18 Feb 2014

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.