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Individual

FAWAZ HASNAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
635 BARNHILL DR BLDG 11, INDIANAPOLIS, IN 46202-5126
(317) 274-8282
Mailing address
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202-5149
(317) 944-1816
(317) 948-2803

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
01085956A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01085956A
IN
390200000X
Student in an Organized Health Care Education/Training Program
IN

Other

Enumeration date
04/03/2020
Last updated
09/19/2025
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