Individual
FADIA T ALDAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5502 EAST 16TH STREET, SUITE A21, INDIANAPOLIS, IN 46218-4932
(317) 355-5394
Mailing address
505 HAWKS VIEW DRIVE, MARION, IN 46952-0000
(317) 919-0703
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01057704A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637510
ANTHEM PIN NUMBER
IN
05
—
200459330A GROUP#
—
IN
05
—
200479650
—
IN
Enumeration date
08/16/2005
Last updated
05/05/2010
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