Basic Information
| Provider Information | |||||||||
| NPI: | 1306861109 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABDELRAHMAN | ||||||||
| FirstName: | EIMAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7440 N SHADELAND AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462502029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176211006 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7440 N SHADELAND AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462502029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176211006 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01058012A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.