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NPI Code Detail

MEDICARE: MOTAZ M SHAHER MD

MEDICARE: MOTAZ M SHAHER MD
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
1207R00000XInternal Medicine Physician01070641AIN
2207RC0000XCardiovascular Disease Physician0101276464VA
3207RC0000XCardiovascular Disease Physician01070641AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427058825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOTAZ M SHAHER MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5165 MCCARTY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-8764
Country : US
Telephone Number : 765-448-8000
Fax Number : 765-838-4333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 10/04/2022

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Directions to “ MOTAZ M SHAHER MD” Practice Location

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