Individual
MR. WALEED ABDELSHAFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2806 GRANADA CIR W, INDIANAPOLIS, IN 46222-6204
(502) 314-0787
Mailing address
2806 GRANADA CIR W, INDIANAPOLIS, IN 46222-6204
(502) 314-0787
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5400049088
IN
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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