Individual
NASRULLAH OLAMIDE ABDURRAZAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202-1281
(317) 962-8881
(317) 962-0838
Mailing address
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202-1281
(317) 962-8881
(317) 962-0838
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
05/22/2023
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