Search › Indiana › 208100000X
Kyle Mazellan, M.D
NPI 1780002857 · on the registry since 2014
Practice
- Address
- 6964 Hillsdale Ct
Indianapolis, IN 46250 - Phone
- (317) 621-9292
- Fax
- (317) 621-9299
- Clinicians at this address
- 4
Additional practice sites
- 410 W 10th Ave, Columbus, OH
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 390200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-27
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