MEDICARE: FARHANAHMED M CONTRACTOR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204F00000X	Transplant Surgery Physician	3515	TN
2	204F00000X	Transplant Surgery Physician	02005410A	IN

General Provider Information

NPI Number	:	1982978961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHANAHMED M CONTRACTOR D.O.

Provider Business Mailing Address
First Line	:	3500 DEPAUW BLVD STE 2011
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1137
Country	:	US
Telephone Number	:	317-522-2995
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 DEPAUW BLVD STE 2011
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1137
Country	:	US
Telephone Number	:	317-522-2995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	07/15/2024

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