Individual
HABIB M BILFAQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01080184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001180081
ANTHEM PTAN
IN
01
—
000001180111
ANTHEM PTAN
IN
01
—
000001180129
ANTHEM PTAN
IN
05
—
300014968
—
IN
Enumeration date
04/01/2015
Last updated
05/15/2025
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