Individual
RANA FAWZI HAWAMDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1440 E COUNTY LINE RD, INDIANAPOLIS, IN 46227-0963
(317) 497-6270
(317) 497-2529
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-1647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN14918
FL
207RH0000X
Hematology (Internal Medicine) Physician
01084644A
IN
207RH0003X
Hematology & Oncology Physician
01084644A
IN
207RH0003X
Hematology & Oncology Physician
2015029477
MO
207RX0202X
Medical Oncology Physician
Primary
01084644A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992016588
—
MO
Enumeration date
06/29/2010
Last updated
09/06/2023
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