| Healthy Aging Enterprise, Llc | |
|
10926 Belle Plaine Blvd Fishers IN 46037-7113 | |
| (317) 985-9501 | |
| Not Available |
| Full Name | Healthy Aging Enterprise, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10926 Belle Plaine Blvd, Fishers, Indiana |
| Authorized Official Name and Position | Marwan Mustaklem (MBR) |
| Authorized Official Contact | 3179859501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Aging Enterprise, Llc 10926 Belle Plaine Blvd Fishers IN 46037-7113 Ph: () - | Healthy Aging Enterprise, Llc 10926 Belle Plaine Blvd Fishers IN 46037-7113 Ph: (317) 985-9501 |
| NPI Number | 1417315102 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 02/09/2016 |
| Medicare PECOS PAC ID | 2668778010 |
|---|---|
| Medicare Enrollment ID | O20160310000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417315102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marwan Mustaklem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750357513 PECOS PAC ID: 0941102644 Enrollment ID: I20070327000115 |
Bio-restore Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10967 Allisonville Rd Ste 220, Fishers, IN 46038 Phone: 317-578-1220 Fax: 833-228-1102 | |
Integrative Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10967 Allisonville Rd, Suite 220, Fishers, IN 46038 Phone: 317-288-7420 Fax: 317-288-7470 | |
Glorious Mobile Clinic &telemedicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12392 Cool Winds Way, Fishers, IN 46037 Phone: 317-605-2630 | |
City Of Fishers Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11787 Lantern Rd Ste 200, Fishers, IN 46038 Phone: 317-957-9140 Fax: 317-957-9141 | |
Fishers Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13050 Parkside Dr, Suite 230, Fishers, IN 46038 Phone: 317-621-1500 Fax: 317-621-1509 | |
Hamilton Medical Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13914 Southeastern Pkwy, Suite - 301, Fishers, IN 46037 Phone: 317-660-1379 Fax: 317-663-1155 | |
Md Connect, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9978 Brightwater Dr, Fishers, IN 46038 Phone: 317-809-7743 |