Individual
AMIRA ZEKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9507
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
110940
NC
367500000X
Certified Registered Nurse Anesthetist
28286040A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000126648
ANTHEM PTAN
IN
05
—
300086446
—
IN
Enumeration date
06/13/2016
Last updated
11/20/2024
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