Healthcare Provider Details

I. General information

NPI: 1902887896
Provider Name (Legal Business Name): NAFTALI BECHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7229 CLEARVISTA DR
INDIANAPOLIS IN
46256-1698
US

IV. Provider business mailing address

7229 CLEARVISTA DR
INDIANAPOLIS IN
46256-1698
US

V. Phone/Fax

Practice location:
  • Phone: 317-621-4300
  • Fax: 317-621-4301
Mailing address:
  • Phone: 317-621-4300
  • Fax: 317-621-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number01045941A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: