Individual
TAREK MAURICE ASHKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01061220A
IN
207R00000X
Internal Medicine Physician
Primary
01061220A
IN
207RN0300X
Nephrology Physician
01061220A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000774491
ANTHEM
IN
05
—
201067660
—
IN
01
—
P01163478
RAILROAD MEDICARE
IN
Enumeration date
10/24/2006
Last updated
03/05/2025
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