Afyouni, Motasem

Afyouni, Motasem is an individual health care provider with primary practice located at 611 E Douglas Suite 309, Mishawaka IN 46545-1467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Afyouni, Motasem can be contacted via phone (574) 335-6232.

Contact Information

Primary practice address
611 E Douglas Suite 309 Mishawaka IN 46545-1467
Phone: (574) 335-6232
Fax: (574) 335-0776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01065534A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01065534A Indiana

Profile Details

NPI number 1306011606
LBN Legal business name Afyouni, Motasem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Aug 10th, 2015 - about 9 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 1306011606 NPPES
Indiana Other 000000219523 BCBS IMA
Indiana Other 000000919573 BCBS IMA
Indiana Other 000000711085 BCBS IMA
Indiana Other 000000581807 BCBS IMA
Indiana Other 000000711085 BCBS IMA
Indiana MEDICAID 200914550 BCBS IMA

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