Individual
FREDY NEHME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE, MUNCIE, IN 47303-3421
(765) 289-5408
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087799A
IN
207R00000X
Internal Medicine Physician
94-08699
KS
207RG0100X
Gastroenterology Physician
Primary
01087799A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102703911
ANTHEM PTAN
IN
01
—
224040183
MEDICARE PTAN
IN
05
—
300064354
—
IN
01
—
P02685637
RAILROAD PTAN
IN
Enumeration date
06/29/2015
Last updated
09/09/2024
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