Individual
WAIEL ALMARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8988
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01089164A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H64
MEDICARE PTAN
IN
05
—
300039985
—
IN
Enumeration date
04/03/2020
Last updated
11/04/2024
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