Healthcare Provider Details

I. General information

NPI: 1528583606
Provider Name (Legal Business Name): LYNDA JEAN RAHEEMA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYNDA JEAN SAYYAH

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5330 E STOP 11 RD
INDIANAPOLIS IN
46237
US

IV. Provider business mailing address

1040 SIERRA DR STE 400
GREENWOOD IN
46143-7241
US

V. Phone/Fax

Practice location:
  • Phone: 317-893-1900
  • Fax: 317-893-1901
Mailing address:
  • Phone: 317-528-4800
  • Fax: 317-865-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10002335A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: