Individual
TABASSUM HATIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3125 S SCATTERFIELD RD, SUITE 300, ANDERSON, IN 46013-1801
(765) 298-4630
(765) 298-4901
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01044493A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000586085
ANTHEM
IN
05
—
200088480
—
IN
Enumeration date
05/03/2006
Last updated
11/27/2023
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