Individual
DR. SANEERA ILMUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3089 W FAIRVIEW RD, GREENWOOD, IN 46142-8504
(317) 881-8700
(317) 881-9200
Mailing address
3089 W FAIRVIEW RD, GREENWOOD, IN 46142-8504
(317) 881-8700
(317) 881-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10159019A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200198380
—
IN
Enumeration date
11/16/2005
Last updated
02/21/2012
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