Individual
DR. HISHAM ALLABABIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5230 E STOP 11 RD STE 150, INDIANAPOLIS, IN 46237-6399
(317) 865-5904
(317) 865-5321
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01066774A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200358680
MEDICAID
IN
05
—
64045529
—
KY
Enumeration date
06/24/2006
Last updated
02/10/2023
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