Abusamra, Ahmed
Abusamra, Ahmed is an sole proprietor health care provider with primary practice located at 1402 E County Line Rd , Indianapolis IN 46227-0963. He recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Abusamra, Ahmed can be contacted via phone (317) 887-7957.Contact Information
Primary practice address
1402 E County Line Rd
Indianapolis IN 46227-0963
Phone: (317) 887-7957
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | 4301099117 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01072955A | Indiana |
Profile Details
| NPI number | 1477841633 |
|---|---|
| LBN Legal business name | Abusamra, Ahmed |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2011 |
| Last updated | Nov 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477841633 | NPPES |
| Indiana | MEDICAID | 201179780 |
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