Individual
THOMAS HABIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3630 GUION RD, INDIANAPOLIS, IN 46222-1616
(317) 920-8439
(317) 614-9655
Mailing address
11460 N MERIDIAN ST, STE. 110, CARMEL, IN 46032-4408
(317) 567-2180
(317) 614-9655
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1097396
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28122164A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283641
ANTHEM BLUE SHIELD
KY
05
—
200428210
—
IN
01
—
2773493000
PASSPORT ADVANTAGE
KY
01
—
430080249
RAILROAD MEDICARE
—
01
—
50012416
PASSPORT
KY
05
—
74005273
—
KY
Enumeration date
10/12/2005
Last updated
07/14/2025
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