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Individual

MUHAMMAD YAHYA JAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
541 CLINICAL DR, CL 626, INDIANAPOLIS, IN 46202-5233
(317) 278-2686
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01086381A
IN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
01086381A
IN
207RN0300X
Nephrology Physician
Primary
01086381A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017962A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000076157
ANTHEM PTAN
IN
01
000001638406
ANTHEM PTAN
IN
Enumeration date
06/23/2014
Last updated
03/11/2025
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