Individual
SUMAYYA FATIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5150 SHELBYVILLE RD, INDIANAPOLIS, IN 46237-2601
(317) 782-1577
(888) 366-7577
Mailing address
5150 SHELBYVILLE RD, INDIANAPOLIS, IN 46237-2601
(317) 782-1577
(888) 366-7577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01061443A
IN
207R00000X
Internal Medicine Physician
MD425164
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102291840 0001
—
PA
01
—
30060503
KEYSTONE MERCY-LOWER BUCKS GROUP
PA
01
—
FA1928165
HIGHMARK BLUE SHIELD - BUCKS/LOWER BUCKS
NJ
Enumeration date
07/12/2006
Last updated
09/16/2016
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