MEDICARE: DR. NUHA NAZAR MUSA 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
1	207Q00000X	Family Medicine Physician	01063130A	IN

General Provider Information

NPI Number	:	1609062017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NUHA NAZAR MUSA MD

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8920 SOUTHPOINTE DR STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-7505
Country	:	US
Telephone Number	:	317-497-1900
Fax Number	:

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	06/04/2024

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