Individual
EHAB WANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1072
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-3793
(317) 885-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01072153A
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01072153A
IN
208M00000X
Hospitalist Physician
Primary
01072153A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201164970
—
IN
Enumeration date
05/13/2009
Last updated
05/09/2023
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