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Individual
NABIL ADRA
Active
Individual
NABIL ADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11016274A
IN
207R00000X
Internal Medicine Physician
01078274A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01078274A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01078274A
IN
207RX0202X
Medical Oncology Physician
01078274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001081889
ANTHEM PTAN
IN
05
—
300002143
—
IN
Enumeration date
07/12/2011
Last updated
02/25/2025
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