Individual
IMRAN HASANUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01084498A
IN
208M00000X
Hospitalist Physician
01084498A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300044297
—
IN
Enumeration date
07/16/2007
Last updated
02/20/2023
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