Healthcare Provider Details

I. General information

NPI: 1427226174
Provider Name (Legal Business Name): MUAZ URABI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N RITTER AVE SUITE 375
INDIANAPOLIS IN
46219-3052
US

IV. Provider business mailing address

1400 N RITTER AVE SUITE 375
INDIANAPOLIS IN
46219-3052
US

V. Phone/Fax

Practice location:
  • Phone: 317-355-9370
  • Fax: 371-355-9394
Mailing address:
  • Phone: 317-355-9370
  • Fax: 371-355-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301089842
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: