Individual
SAMER GAWRIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073090A
IN
207RG0100X
Gastroenterology Physician
Primary
01073090A
IN
207RG0100X
Gastroenterology Physician
43198
WI
207RT0003X
Transplant Hepatology Physician
01073090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000853292
ANTHEM PTAN
IN
01
—
029906261I
HUMANA
—
05
—
1720039688
—
WI
05
—
201193570
—
IN
01
—
P01326874
RAIL ROAD MEDICARE
IN
Enumeration date
05/15/2006
Last updated
03/08/2025
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