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Individual

JAD HARB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1210B MEDICAL ARTS BLVD, SUITE 214, ANDERSON, IN 46011-3435
(765) 298-4300
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01074773A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201300070
IN
01
P01824450
RR PTAN
IN
Enumeration date
09/03/2009
Last updated
05/31/2017
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