Individual
ABDUL SUBHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 102A, INDIANAPOLIS, IN 46205-1542
(317) 803-2270
(317) 217-1769
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49780-20
WI
2084P0800X
Psychiatry Physician
Primary
01065489A
IN
2084P0800X
Psychiatry Physician
57.012438
OH
Other
Enumeration date
04/16/2008
Last updated
01/27/2020
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