Individual
MOHAMED HOMSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 RONALD REAGAN PKWY STE 100, AVON, IN 46123-6913
(317) 944-5330
(317) 273-5988
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01065608
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01065608A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01065608
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01065608A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11012900A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000821084
BCBS
IN
05
—
200931460
—
IN
Enumeration date
05/23/2008
Last updated
05/24/2025
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