Individual
WAQAR MAHMUD HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 PRO-MED LN, CARMEL, IN 46032-5317
(317) 843-9922
(317) 581-9922
Mailing address
1111 W 10TH ST, PB A212, INDIANAPOLIS, IN 46202-4800
(317) 274-1224
(317) 274-1248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000348A
IN
Other
Enumeration date
07/07/2009
Last updated
04/08/2020
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