| |
1250 E County Line Rd Suite 8 Indianapolis IN 46227-0989 | |
(317) 602-1400 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 1250 E County Line Rd, Indianapolis, Indiana |
Authorized Official Name and Position | Zahra Dohan (OFFICE MANAGER) |
Authorized Official Contact | 3178877675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1250 E County Line Rd Suite 8 Indianapolis IN 46227-0989 Ph: (317) 602-1400 | 1250 E County Line Rd Suite 8 Indianapolis IN 46227-0989 Ph: (317) 602-1400 |
NPI Number | 1679770705 |
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Provider Enumeration Date | 07/02/2007 |
Last Update Date | 09/02/2016 |
Medicare PECOS PAC ID | 9931151248 |
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Medicare Enrollment ID | O20050215000699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679770705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Indiana) | Primary |
Provider Name | Ali M Dohan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558457432 PECOS PAC ID: 6002868312 Enrollment ID: I20120119000456 |
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