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General NPI Number Information
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NPI Number | 1952569121
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Entity Type | Individual
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Provider Name | MOHAMED HOMSI MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 1115 RONALD REAGAN PKWY STE 100
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City | AVON
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State | IN
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Zip | 46123-6913
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Country | US
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Telephone | 317-944-5330
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Fax | 317-273-5988
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Provider Business Mailing Address
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Address Line | 250 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-4959
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Country | US
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Telephone |
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01065608
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 01065608
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 01065608A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11012900A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01065608A
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License Number State | IN
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