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General NPI Number Information
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NPI Number | 1801891692
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Entity Type | Individual
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Provider Name | MOHAMMAD A GAD JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2001 W 86TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1902
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Country | US
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Telephone | 317-338-2345
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Fax | 317-583-3099
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Provider Business Mailing Address
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Address Line | 2739 NAVARRE AVE STE 304
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City | OREGON
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State | OH
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Zip | 43616-8200
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Country | US
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Telephone | 419-693-4400
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Fax | 419-693-4800
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35079855
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01095964A
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License Number State | IN
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