Individual
AHMAD A AL-HADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 BARNHILL DRIVE, INDIANAPOLIS, IN 46202-5112
(317) 948-6953
(317) 944-1289
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P8633
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01074041A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01077557A
IN
207RH0003X
Hematology & Oncology Physician
01077557A
IN
207RX0202X
Medical Oncology Physician
Primary
01077557A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001050434
ANTHEM PTAN
IN
05
—
201103430
—
IN
Enumeration date
08/03/2010
Last updated
02/26/2025
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