Healthcare Provider Details

I. General information

NPI: 1306769393
Provider Name (Legal Business Name): NOOR ALAWWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11505 ILLINOIS ST
CARMEL IN
46032-3137
US

IV. Provider business mailing address

13853 GATSBY DR
FISHERS IN
46038-8406
US

V. Phone/Fax

Practice location:
  • Phone: 317-689-6325
  • Fax:
Mailing address:
  • Phone: 810-875-3768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302416676
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26031822A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: