Mr Malaz A Boustani, MD | |
720 Eskenazi Ave Fl 6, Indianapolis, IN 46202-5189 | |
(317) 880-6600 | |
(317) 880-0333 |
Full Name | Mr Malaz A Boustani |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 720 Eskenazi Ave Fl 6, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891751079 | NPI | - | NPPES |
000000230417 | Other | IN | ANTHEM |
200389990 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01055882A (Indiana) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | 01055882A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eskenazi Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Health And Hospital Corporation Of Marion County | 6709795974 | 210 |
Entity Name | Eskenazi Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730451063 PECOS PAC ID: 4284546813 Enrollment ID: O20031103000440 |
Entity Name | Indiana University Health Care Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
Entity Name | The Health And Hospital Corporation Of Marion County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426 |
Mailing Address | Practice Location Address |
---|---|
Mr Malaz A Boustani, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Mr Malaz A Boustani, MD 720 Eskenazi Ave Fl 6, Indianapolis, IN 46202-5189 Ph: (317) 880-6600 |
Irene A Carrothers, M.D. Geriatric 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 Geriatric 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 Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Lawrence John Born, MD Geriatric 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 Geriatric 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. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-8660 |