Ardalan, Abdolaziz M

Ardalan, Abdolaziz M is an sole proprietor health care provider with primary practice located at 9737 Decatur Dr , Indianapolis IN 46256-9656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ardalan, Abdolaziz M can be contacted via phone (317) 578-1133.

Contact Information

Primary practice address
9737 Decatur Dr Indianapolis IN 46256-9656
Phone: (317) 578-1133
Fax: (317) 843-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 010267201 Indiana

Profile Details

NPI number 1487761607
LBN Legal business name Ardalan, Abdolaziz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Feb 4th, 2010 - about 14 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 1487761607 NPPES
Indiana MEDICAID 100367790A
Indiana Other 000000079426

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