Individual
FARZAD LOGHMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-5820
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01044164A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01044164A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01044164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000668970
ANTHEM PTAN
IN
05
—
200393450
—
IN
01
—
P00886780
RAILROAD MEDICARE
IN
Enumeration date
04/19/2006
Last updated
03/13/2025
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