Bolad, Islam Abbas
Bolad, Islam Abbas is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bolad, Islam Abbas can be contacted via phone (765) 775-2800.Contact Information
Primary practice address
3900 St Francis Way Ste 200
Lafayette IN 47905-4940
Phone: (765) 775-2800
Fax: (765) 775-2831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01064026A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 016813 | Maine |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01064026A | Indiana |
Profile Details
| NPI number | 1780746198 |
|---|---|
| LBN Legal business name | Bolad, Islam Abbas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Feb 17th, 2023 - about last year |
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 | 1780746198 | NPPES |
| Indiana | MEDICAID | 200881960 |
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