Afaneh, Anan Bassam

Afaneh, Anan Bassam is an individual health care provider with primary practice located at 6905 E 96Th St Ste 300 , Indianapolis IN 46250-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Afaneh, Anan Bassam can be contacted via phone (317) 621-1510.

Contact Information

Primary practice address
6905 E 96Th St Ste 300 Indianapolis IN 46250-4456
Phone: (317) 621-1510
Fax: (317) 621-1511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2014030565 Missouri
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01084594A Indiana

Profile Details

NPI number 1407167273
LBN Legal business name Afaneh, Anan Bassam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Nov 2nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407167273 NPPES
Indiana MEDICAID 300043555

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