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Individual

MONA A RAED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(317) 621-4800
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
01081221A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300020244
IN
Enumeration date
08/15/2011
Last updated
01/04/2023
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