Individual
NAWAR AL NASRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13000 E 136TH ST, FISHERS, IN 46037-9478
(317) 962-5820
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071832A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01071832A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01071832A
IN
208M00000X
Hospitalist Physician
01071832A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201102450
—
IN
Enumeration date
07/21/2010
Last updated
04/24/2025
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