Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13054 | NH |
N | 111NI0900X | Internist | 13054 | NH |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 01078726A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | 01078726A | IN |
NPI | 1407882798 |
---|---|
Provider Name | Muhamad Adeeb Safiia |
First Address | Indianapolis, IN 46250-2890 |
Second Address | Indianapolis, IN 46250-2693 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 14/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
300005557 | (05) | IN |
30206479 | (05) | NH |