Individual
FATEN SUHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076833A
IN
208M00000X
Hospitalist Physician
Primary
01076833A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023462
—
IN
Enumeration date
05/03/2007
Last updated
01/12/2022
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