Individual
AHSRAF Y ABOU EL EZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01079419A
IN
207L00000X
Anesthesiology Physician
34646
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008707
—
IN
05
—
64004328
—
KY
Enumeration date
08/10/2005
Last updated
10/09/2025
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