Healthcare Provider Details

I. General information

NPI: 1356871602
Provider Name (Legal Business Name): PRECISION MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 06/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 W 86TH ST
INDIANAPOLIS IN
46260-1903
US

IV. Provider business mailing address

1822 BEAUFAIN ST
CARMEL IN
46032-7201
US

V. Phone/Fax

Practice location:
  • Phone: 317-872-8811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SAAD HAFIDH
Title or Position: OWNER
Credential: MD
Phone: 317-975-0101