Basic Information
Provider Information
NPI: 1457465361
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BEN SAAD
FirstName: TAHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3752 DUNELLEN CIR
Address2:  
City: CARMEL
State: IN
PostalCode: 460747710
CountryCode: US
TelephoneNumber: 1734157921
FaxNumber:  
Practice Location
Address1: 8081 TOWNSHIP LINE RD STE 202
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462602189
CountryCode: US
TelephoneNumber: 3174157921
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/18/2006
LastUpdateDate: 04/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X01065536AINN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001X1065536AINY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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