Individual
LYNDA JEAN RAHEEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237
(317) 893-1900
(317) 893-1901
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002335A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007512
—
IN
Enumeration date
08/09/2017
Last updated
05/17/2021
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