Individual
ALAA SHAMMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8501 E 56TH ST STE 120, INDIANAPOLIS, IN 46216-2118
(317) 621-3700
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078391A
IN
207R00000X
Internal Medicine Physician
125.064360
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01078391A
IN
Other
Enumeration date
06/27/2014
Last updated
08/20/2024
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