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1851013254

NPI Code Detail

MEDICARE: SEIF BUGAZIA MD

MEDICARE: SEIF BUGAZIA 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	207R00000X	Internal Medicine Physician	01099797A	IN
2	207R00000X	Internal Medicine Physician	036175071	IL

General Provider Information

NPI Number	:	1851013254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEIF BUGAZIA MD

Provider Business Mailing Address
First Line	:	1120 W MICHIGAN ST OFC CL285
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5209
Country	:	US
Telephone Number	:	317-963-0555
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 W JACKSON ST
Second Line	:
City	:	CARBONDALE
State	:	IL
Zip	:	62901-1462
Country	:	US
Telephone Number	:	618-942-2171
Fax Number	:

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

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	04/14/2026

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Directions to “ SEIF BUGAZIA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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