Taza, Fadi

Taza, Fadi is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 340 , Indianapolis IN 46219-3049. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Taza, Fadi can be contacted via phone (317) 355-5870.

Contact Information

Primary practice address
1400 N Ritter Ave Ste 340 Indianapolis IN 46219-3049
Phone: (317) 355-5870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01085904A Indiana
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01085904A Indiana

Profile Details

NPI number 1740786771
LBN Legal business name Taza, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2018
Last updated Jun 19th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740786771 NPPES
Indiana MEDICAID 300050784

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