Individual
DR. AHMED ELTARRAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209
(214) 713-1025
Mailing address
403 W VERMONT ST APT 455, INDIANAPOLIS, IN 46202-3257
(214) 713-1025
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2020013962
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
06/24/2021
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