Healthcare Provider Details

I. General information

NPI: 1952718231
Provider Name (Legal Business Name): OULA ALHABIAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 E 116TH ST STE 300
FISHERS IN
46038-2857
US

IV. Provider business mailing address

6925 E. 96TH ST. SUITE #150
INDIANAPOLIS IN
46250
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-1500
  • Fax: 317-621-1509
Mailing address:
  • Phone: 317-621-6925
  • Fax: 317-621-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01082450A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number72173
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: