Individual
AFSHAN JABEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2525 W UNIVERSITY AVE STE 404, MUNCIE, IN 47303
(765) 231-9494
(765) 587-4456
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(765) 751-5784
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01071993A
IN
208M00000X
Hospitalist Physician
Primary
01071993A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201151340
—
IN
Enumeration date
09/16/2010
Last updated
02/06/2020
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