Provider Demographics
NPI:1982978961
Name:CONTRACTOR, FARHANAHMED M (DO)
Entity type:Individual
Prefix:
First Name:FARHANAHMED
Middle Name:M
Last Name:CONTRACTOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 2011
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1137
Mailing Address - Country:US
Mailing Address - Phone:317-522-2995
Mailing Address - Fax:
Practice Address - Street 1:3500 DEPAUW BLVD STE 2011
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1137
Practice Address - Country:US
Practice Address - Phone:317-522-2995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3515204F00000X
IN02005410A204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery