Individual
ASHIQ MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DR, INDIANAPOLIS, IN 46202-5116
(317) 944-0920
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086594A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01086594A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01086594A
IN
207RX0202X
Medical Oncology Physician
2015013490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001620271
ANTHEM PTAN
IN
05
—
300055541
—
IN
Enumeration date
08/11/2009
Last updated
03/14/2025
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