Provider Demographics
NPI:1538052915
Name:EL-SANDID, REEM SHAALAN
Entity type:Individual
Prefix:
First Name:REEM
Middle Name:SHAALAN
Last Name:EL-SANDID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 N HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46201-2028
Mailing Address - Country:US
Mailing Address - Phone:316-847-9113
Mailing Address - Fax:
Practice Address - Street 1:918 N HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46201-2028
Practice Address - Country:US
Practice Address - Phone:316-847-9113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71016674A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily