Najash Abdishikur

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI 1316784648 · NPPES record last updated Jul 12, 2024

Key facts

NPI
1316784648
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1630 Carrollton Ave
Indianapolis, IN 46202-1709
Phone
(612) 254-5245
NPI assigned
Jul 12, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250701004243 MN Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
2961915061

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1630 Carrollton Ave
Indianapolis, IN 46202-1709

Mailing address

1630 Carrollton Ave
Indianapolis, IN 46202-1709

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.