Individual
NADHIMU NIYAMATHULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14902 SHELBORNE RD, WESTFIELD, IN 46074-9668
(317) 286-2885
(317) 388-0805
Mailing address
14902 SHELBORNE RD, WESTFIELD, IN 46074-9668
(317) 286-2885
(317) 388-0805
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
034427
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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