Individual
AHSAN ASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD STE 1501, INDIANAPOLIS, IN 46202-5149
(317) 948-1310
(317) 948-0503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01080044A
IN
207RN0300X
Nephrology Physician
Primary
01080044A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001177763
ANTHEM PTAN
IN
01
—
1102251517
ANTHEM PTAN
IN
05
—
300013718
—
IN
Enumeration date
07/20/2015
Last updated
02/26/2025
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