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: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

250 N SHADELAND AVE
INDIANAPOLIS IN
46219-4959
US

V. Phone/Fax

Practice location:
  • Phone: 765-751-2600
  • Fax: 765-751-5347
Mailing address:
  • Phone:
  • 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: