Individual
DR. AHMAD FERAS ELBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY STE 210, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 962-1337
(765) 966-0858
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01070618A
IN
207RI0011X
Interventional Cardiology Physician
35.122482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000772771
ANTHEM BCBS
IN
01
—
000000773159
ANTHEM (EKG GROUP)
—
01
—
201073080
MEDICAID (EKG GROUP)
IN
05
—
201073080
—
IN
05
—
2759644
—
OH
01
—
M400074895
MEDICARE (REID EKG GROUP)
IN
Enumeration date
05/10/2007
Last updated
01/02/2020
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