Individual
ANAN BASSAM AFANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6905 E 96TH ST STE 300, INDIANAPOLIS, IN 46250-4456
(317) 621-1510
(317) 621-1511
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01084594A
IN
207RR0500X
Rheumatology Physician
2014030565
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043555
—
IN
Enumeration date
06/28/2010
Last updated
11/02/2020
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