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Individual

AUS ABURASHED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1547 OHIO AVE, ANDERSON, IN 46016-1917
(765) 641-7499
(765) 356-4647
Mailing address
214 CADILLAC DR, LAFAYETTE, IN 47905-4547

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01079321A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2014
Last updated
05/20/2024
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