Healthcare Provider Details

I. General information

NPI: 1609940816
Provider Name (Legal Business Name): ABBASPOUR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 E 82ND ST
INDIANAPOLIS IN
46256-1458
US

IV. Provider business mailing address

7320 E 82ND ST
INDIANAPOLIS IN
46256-1458
US

V. Phone/Fax

Practice location:
  • Phone: 317-842-5771
  • Fax: 317-842-5953
Mailing address:
  • Phone: 317-842-5771
  • Fax: 317-842-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number60005131A
License Number StateIN

VIII. Authorized Official

Name: MR. SAUMIIN CALCUTTAWALA
Title or Position: CHIEF OPERATING OFFICER
Credential: PHARMD, MS
Phone: 317-842-5771