Fadi Taza, MD | |
1400 N Ritter Ave Ste 340, Indianapolis, IN 46219-3049 | |
(317) 355-5870 | |
Not Available |
Full Name | Fadi Taza |
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Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 1400 N Ritter Ave Ste 340, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740786771 | NPI | - | NPPES |
300050784 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 01085904A (Indiana) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 01085904A (Indiana) | Primary |
Entity Name | Indiana Hemophilia & Thrombosis Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659364800 PECOS PAC ID: 4183605306 Enrollment ID: O20040525000925 |
Mailing Address | Practice Location Address |
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Fadi Taza, MD 1400 N Ritter Ave Ste 340, Indianapolis, IN 46219-3049 Ph: (317) 355-5870 | Fadi Taza, MD 1400 N Ritter Ave Ste 340, Indianapolis, IN 46219-3049 Ph: (317) 355-5870 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8424 Naab Rd, #3-j, Indianapolis, IN 46260 Phone: 317-872-7396 Fax: 317-879-8328 | |
Brian T Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7979 Fax: 317-630-2668 | |
Steven T Hugenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |