Organization
MADISON ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASHIF ABDUL-RAHMAN MD (MD)
(765) 284-0493
Entity
Organization
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092460
—
IN
05
—
100170520
—
IN
05
—
100173130
—
IN
05
—
100375750
—
IN
Enumeration date
07/22/2006
Last updated
08/01/2013
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