Individual
MAHMOUD YASSIN-KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N RITTER AVE, SUITE 375B, INDIANAPOLIS, IN 46219-3052
(317) 355-9370
(317) 621-5678
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IN01057007
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000373842
ANTHEM
IN
05
—
200425720
—
IN
01
—
P01235995
MEDICARE RR PTAN
IN
Enumeration date
03/28/2006
Last updated
06/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us