Individual
DR. ANAS ALZUHAILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(770) 573-9513
Mailing address
2100 MARKET ST STE 101, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01070876A
IN
207P00000X
Emergency Medicine Physician
Primary
35.129017
OH
207P00000X
Emergency Medicine Physician
MD446903
PA
208600000X
Surgery Physician
35.129017
OH
208600000X
Surgery Physician
MD446903
PA
208D00000X
General Practice Physician
01070876A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01070876A
STATE LICENSE
IN
05
—
300011472
—
IN
01
—
IN3604002
MEDICARE
IN
Enumeration date
08/07/2009
Last updated
10/18/2024
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