Individual
AYMAN ELFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061055A
IN
207L00000X
Anesthesiology Physician
036107255
IL
207L00000X
Anesthesiology Physician
435-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374310
BCBS PIN
IN
01
—
000000501001
BCBS - DEACONESS GATEWAY
IN
05
—
200530400
—
IN
01
—
P00303280
RR MEDICARE
IN
Enumeration date
05/09/2006
Last updated
09/10/2024
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