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Individual

SABEENA RANA HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 838-4698
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
02003852A
IN
208000000X
Pediatrics Physician
OS10682
FL
208M00000X
Hospitalist Physician
02003852A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000714821
ANTHEM PROVIDER NUMBER
IN
05
201022900
IN
Enumeration date
11/20/2007
Last updated
07/12/2022
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