Provider Demographics
NPI:1124092325
Name:MERCHO, NAWAR F (MD)
Entity type:Individual
Prefix:
First Name:NAWAR
Middle Name:F
Last Name:MERCHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NAWWAR
Other - Middle Name:F
Other - Last Name:MERCHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2723 S 7TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3558
Mailing Address - Country:US
Mailing Address - Phone:812-238-1730
Mailing Address - Fax:812-242-1565
Practice Address - Street 1:2723 S 7TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3558
Practice Address - Country:US
Practice Address - Phone:812-232-8164
Practice Address - Fax:812-234-6391
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01044876A207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000093820OtherANTHEM PIN
IN200104610Medicaid
IN100778OtherFEDERAL BLACK LUNG
IN060057562OtherRAILROAD MEDICARE
INF49968Medicare UPIN
IN060057562OtherRAILROAD MEDICARE
IN100778OtherFEDERAL BLACK LUNG