Tushan, Fayez S
Tushan, Fayez S is an individual health care provider with primary practice located at 7250 Clearvista Dr Suite 120, Indianapolis IN 46256-4640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Tushan, Fayez S can be contacted via phone (317) 621-5676.Contact Information
Primary practice address
7250 Clearvista Dr Suite 120
Indianapolis IN 46256-4640
Phone: (317) 621-5676
Fax: (317) 621-5678
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01023737A | Indiana |
Profile Details
NPI number | 1033113550 |
---|---|
LBN Legal business name | Tushan, Fayez S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2005 |
Last updated | Oct 30th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033113550 | NPPES |
Indiana | MEDICAID | 100318520A |
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