Provider Demographics
NPI:1194977660
Name:MOHSIN, GULMINAY (MD)
Entity type:Individual
Prefix:
First Name:GULMINAY
Middle Name:
Last Name:MOHSIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GULMINAY
Other - Middle Name:
Other - Last Name:MUNIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1120 W MICHIGAN ST # CL380B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5209
Mailing Address - Country:US
Mailing Address - Phone:317-278-7826
Mailing Address - Fax:
Practice Address - Street 1:1120 W MICHIGAN ST # CL380B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5209
Practice Address - Country:US
Practice Address - Phone:317-278-7826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-16
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IN01073658A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201260030Medicaid
INP01405436OtherRR MEDICARE
INP01405436OtherRR MEDICARE