Individual
AFIA I NAQVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 N MADISON AVE, DIABETES CARE CENTER, ANDERSON, IN 46011-3453
(765) 298-4242
Mailing address
1515 N MADISON AVE, DIABETES CARE CENTER, ANDERSON, IN 46011-3453
(765) 298-5365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062966A
IN
207R00000X
Internal Medicine Physician
35084055
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11300908
CAQH
IN
05
—
2506078
—
OH
Enumeration date
11/08/2005
Last updated
07/08/2007
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