Healthcare Provider Details

I. General information

NPI: 1972247187
Provider Name (Legal Business Name): WESAM ALHADID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W MICHIGAN ST
INDIANAPOLIS IN
46202-5209
US

IV. Provider business mailing address

2525 W UNIVERSITY AVE STE 401
MUNCIE IN
47303-3433
US

V. Phone/Fax

Practice location:
  • Phone: 317-278-0105
  • Fax:
Mailing address:
  • Phone: 765-747-4306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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: