Individual
NABIL ADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 CLINICAL DR # CL630, INDIANAPOLIS, IN 46202-5233
(317) 278-2694
(317) 278-2650
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11016274A
IN
207R00000X
Internal Medicine Physician
01078274A
IN
207RH0000X
Hematology (Internal Medicine) Physician
01078274A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01078274A
IN
207RX0202X
Medical Oncology Physician
01078274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001081889
ANTHEM PTAN
IN
05
—
300002143
—
IN
Enumeration date
07/12/2011
Last updated
02/25/2025
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