Individual
MOTAZ M SHAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(765) 838-4333
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070641A
IN
207RC0000X
Cardiovascular Disease Physician
0101276464
VA
207RC0000X
Cardiovascular Disease Physician
Primary
01070641A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200478170
—
IN
Enumeration date
07/28/2005
Last updated
10/04/2022
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