Individual
DR. MUSTAFA E. OVACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2995 NORTH SALISBURY STREET, W. LAFAYETTE, IN 47906-1435
(765) 448-8000
(765) 448-7606
Mailing address
P.O. BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01065311A
IN
208000000X
Pediatrics Physician
4031031286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000597245
ANTHEM PROVIDER NUMBER
IN
05
—
200897230
—
IN
Enumeration date
03/13/2007
Last updated
05/10/2026
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