Individual
NAWAL M KASSEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5209
(800) 362-2066
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01085875A
IN
207RH0003X
Hematology & Oncology Physician
Primary
01085875A
IN
207RX0202X
Medical Oncology Physician
01085875A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001556496
ANTHEM PTAN
IN
05
—
201301720
—
IN
Enumeration date
06/05/2015
Last updated
03/12/2025
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