MEDICARE: TARICK I ABDO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	07000956A	IN

General Provider Information

NPI Number	:	1285693994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARICK I ABDO DPM

Provider Business Mailing Address
First Line	:	5471 GEORGETOWN RD STE C
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-5794
Country	:	US
Telephone Number	:	317-297-0661
Fax Number	:

Provider Business Practice Location Address
First Line	:	9670 E WASHINGTON ST STE 215
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46229-3051
Country	:	US
Telephone Number	:	317-452-8717
Fax Number	:	317-897-3295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	02/05/2025

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Directions to “ TARICK I ABDO DPM” Practice Location

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