Healthcare Provider Details

I. General information

NPI: 1508772161
Provider Name (Legal Business Name): MARJAN MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S HIGH SCHOOL RD
INDIANAPOLIS IN
46241-1179
US

IV. Provider business mailing address

660 S HIGH SCHOOL RD
INDIANAPOLIS IN
46241-1179
US

V. Phone/Fax

Practice location:
  • Phone: 517-214-4043
  • Fax:
Mailing address:
  • Phone: 517-214-4043
  • 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: DR. ALADDIN SUFYAN
Title or Position: PRESIDENT
Credential: MD
Phone: 517-214-4043