Individual
HANEEN AYED SHAWKAT MOHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-8776
(317) 963-5285
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01087261A
IN
207R00000X
Internal Medicine Physician
TRN18513
FL
208M00000X
Hospitalist Physician
35.128018
OH
Other
Enumeration date
09/11/2013
Last updated
06/02/2022
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