Individual
AMEAN IMAD AMRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
Mailing address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01092789A
IN
207R00000X
Internal Medicine Physician
OS18502
FL
208D00000X
General Practice Physician
Primary
036166096
IL
208D00000X
General Practice Physician
OS18502
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
02/22/2026
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