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Individual

ELHAM ZAYED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 948-8657
(317) 948-5949
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01094652A
IN
207NP0225X
Pediatric Dermatology Physician
57253800
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104407961
ANTHEM PTAN
IN
Enumeration date
07/20/2022
Last updated
10/11/2024
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