Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sports & Regenerative Medicine PC

Organization Sports Medicine (Family Medicine) Physician · NPI 1063765436

Sports & Regenerative Medicine PC is a Sports Medicine (Family Medicine) Physician in Carmel, Indiana. Licensed in Indiana. Registered with an NPI since 2012.

Licensed in
IN
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12188B N Meridian St
Carmel, IN 46032-4840
Phone: (317) 660-2173
Fax: (317) 660-2393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 01062145A (IN)

Record details

NPI number1063765436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manish Mannan — Owner · (317) 660-2173
NPI enumeratedOctober 22, 2012
Last updated in NPPESFebruary 12, 2013
Mailing addressPo Box 80158, Indianapolis, IN 46280-0158

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