Individual
ISMAIL QATTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEMORIAL SQ STE 2200, GREENFIELD, IN 46140-1378
(317) 468-6257
(317) 468-6268
Mailing address
1 MEMORIAL SQ STE 50, GREENFIELD, IN 46140-1357
(317) 468-6257
(317) 468-6268
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01081966A
IN
207RN0300X
Nephrology Physician
036-120417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538329982 1
—
IL
01
—
279500
MEDICARE GROUP
IL
Enumeration date
06/10/2008
Last updated
10/24/2023
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