Individual
NADINE T AL HOMSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 S LANDMARK AVE, BLOOMINGTON, IN 47403-5001
(812) 332-9874
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01089158A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540875
MEDICARE PTAN
IN
05
—
300041035
—
IN
Enumeration date
08/04/2020
Last updated
08/15/2023
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