Individual
FAHEEM A. ABBASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 E COUNTY LINE RD, SUITE 2400, INDIANAPOLIS, IN 46227-0963
(317) 887-7000
(317) 355-8734
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01051717A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01051717A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294680
—
IN
01
—
7100044060
KY MCD
IN
01
—
P01157024
MEDICARE RR
IN
Enumeration date
05/06/2008
Last updated
11/27/2023
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