Individual
MAHMOUD SAMMAN
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) 962-6793
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101281974
VA
2085R0202X
Diagnostic Radiology Physician
Primary
01079253A
IN
2085R0202X
Diagnostic Radiology Physician
40277
KY
2085R0204X
Vascular & Interventional Radiology Physician
40277
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495823
ANTHEM
KY
05
—
200898810
—
IN
01
—
40277
LICENSE
KY
05
—
7100009230
—
KY
01
—
P00419856
RAILROAD MEDICARE
KY
Enumeration date
10/13/2006
Last updated
06/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us