Doctor Name: | IBAD ANSARI |
NPI Number: | 1245219997 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 01035152A |
Business Practice Address: | 1402 E County Line Rd Suite 2400 Indianapolis, IN - 462270963 |
Business Phone Number: | 3178877880 |
Business Fax Number: | 3178877660 |
Mailing Address: | 6626 E 75th St, Suite 500 INDIANAPOLIS |
State: | IN |
Postal Code: | 462502805 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 01035152A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |