Individual
AHMED IBRAHIM ELSAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 554-0000
(371) 554-0005
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01057017A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01057017A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
36166
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301078845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300024592
—
IN
01
—
Q00057177
RAILROAD PTAN
IN
Enumeration date
05/08/2006
Last updated
12/02/2024
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