Provider Demographics
NPI:1528250438
Name:EFTEKHARI MARSDEN, NAHID (MD)
Entity type:Individual
Prefix:
First Name:NAHID
Middle Name:
Last Name:EFTEKHARI MARSDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAHID
Other - Middle Name:
Other - Last Name:EFTEKHARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8414 NAAB RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1972
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8414 NAAB RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1972
Practice Address - Country:US
Practice Address - Phone:317-338-7510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069978A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201045440Medicaid
INP01588243OtherRR MEDICARE
INP01588243OtherRR MEDICARE
IN201045440Medicaid
INM55843012Medicare PIN
INM400062054Medicare PIN