Healthcare Provider Details

I. General information

NPI: 1154631273
Provider Name (Legal Business Name): HUSSEIN AHMED WARDA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

679 E COUNTY LINE RD
GREENWOOD IN
46143-1049
US

IV. Provider business mailing address

679 E COUNTY LINE RD
GREENWOOD IN
46143-1049
US

V. Phone/Fax

Practice location:
  • Phone: 317-890-2000
  • Fax: 317-859-7220
Mailing address:
  • Phone: 317-890-2000
  • Fax: 317-859-7220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA149838
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: