Individual
HAMED MAHMOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4758 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 642-9500
Mailing address
5153 ALPINE VIOLET WAY, INDIANAPOLIS, IN 46254-7050
(214) 566-7850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014800A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2025
Last updated
06/16/2025
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