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NOOBAR S ISRAEL MARDIROSIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 W 10TH ST, 4TH FLOOR, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01068732A
IN
208M00000X
Hospitalist Physician
01068732A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000698720
ANTHEM
IN
05
201000040
IN
Enumeration date
07/20/2007
Last updated
09/22/2025
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