Healthcare Provider Details

I. General information

NPI: 1427086974
Provider Name (Legal Business Name): SAMI MAHMOUD AASAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: OUSSAMA MAHMOUD AASAR MD

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 E 136TH ST STE 3000
FISHERS IN
46037-9817
US

IV. Provider business mailing address

9738 VIRGINIA PINE DR
FISHERS IN
46040-8811
US

V. Phone/Fax

Practice location:
  • Phone: 317-678-3900
  • Fax: 317-678-3910
Mailing address:
  • Phone: 317-604-0782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01055790A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number01055790A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35C.000396
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number01055790A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: