Individual
NHAM H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016
(765) 649-2511
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01080403A
IN
207L00000X
Anesthesiology Physician
D72520
MD
Other
Enumeration date
06/16/2011
Last updated
05/18/2018
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