Healthcare Provider Details

I. General information

NPI: 1336052125
Provider Name (Legal Business Name): OPTIMAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12863 TURNHAM DR
FISHERS IN
46038-8274
US

IV. Provider business mailing address

12863 TURNHAM DR
FISHERS IN
46038-8274
US

V. Phone/Fax

Practice location:
  • Phone: 443-204-4166
  • Fax:
Mailing address:
  • Phone: 443-204-4166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAURAMY ABORO
Title or Position: PHYSICIAN
Credential: MD, PHARMD
Phone: 443-204-4166