SearchIndiana207P00000X

Burgundy Stanley, M.D

NPI 1073956421 · on the registry since 2013

Practice

Address
250 N Shadeland Ave
Suite 130
Indianapolis, IN 46219
Phone
(317) 963-2514
Fax
(317) 962-4343
Organisation at this address
Mohci Urgent Care Llc
Indiana University Radiology Associates Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 720 Eskenazi Ave, Indianapolis, IN
  • 1701 N Senate Blvd, Indianapolis, IN

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana