Healthcare Provider Details

I. General information

NPI: 1750054417
Provider Name (Legal Business Name): MIHRIBAN GUZEL KANER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MIHRIBAN GUZEL MD

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 W 16TH ST # GH4700
INDIANAPOLIS IN
46202-2207
US

IV. Provider business mailing address

355 W 16TH ST # GH4700
INDIANAPOLIS IN
46202-2207
US

V. Phone/Fax

Practice location:
  • Phone: 317-963-8698
  • Fax:
Mailing address:
  • Phone: 317-963-8698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number01096706A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: