AMIR REZA HAJRASOULIHA (NPI# 1083916027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083916027 |
| Entity Type | Individual |
| Full Name | AMIR REZA HAJRASOULIHA |
| Practice Address |
1160 W Michigan St Indianapolis IN 46202-5209 |
| Mailing Address |
250 N Shadeland Ave Ste 130 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179442020 |
| Mailing Telephone | 3179624792 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 01078760A | IN | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
01078760A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 250 N Shadeland Ave Ste 130, Indianapolis, IN 462194959 | 3179624792 |
| Street Address |
1160 W MICHIGAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655783 | Louis B Cantor | Ophthalmology | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2005-08-09 |
| 1508328956 | David Camp | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2019-04-04 |
| 1164981916 | Avrey Thau | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2019-03-19 |
| 1356831929 | Katherine Chuang | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202 | 2018-05-18 |
| 1366949349 | Adrienne Ng | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2018-04-06 |
| 1851825335 | June Geng | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2017-04-12 |
| 1679004121 | Jason Young | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2017-03-27 |
| 1629424809 | Amelia Maureen Todd | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2016-05-06 |
| 1114312089 | Scott Wentz | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2015-03-30 |
| 1609219021 | Elizabeth A Martin | Ophthalmology | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585838 | Thomas Anthony Ciulla | Ophthalmology | 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 | 2005-06-02 |
| 1508277542 | Nicholas F Hrisomalos Md PC | Ophthalmology | 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 | 2014-05-13 |
| 1568452340 | Nicholas Frank Hrisomalos | Ophthalmology | 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637075 | Madison Eye Center LLC | Ophthalmology | 601 Broadway St, Madison, IN 47250-3362 | 2018-01-26 |
| 1093999609 | Retina & Vitreous L L C | Ophthalmology | 53822 Generations Drive, South Bend, IN 46635-1543 | 2007-12-19 |
| 1295730299 | Prince D Samuel | Ophthalmology | 4221 Washington Ave, Evansville, IN 47714-0675 | 2005-06-16 |
| 1902800493 | Ramana S Moorthy | Ophthalmology | 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 | 2005-06-13 |
| 1851840599 | Highland Retina Associates, LLC | Ophthalmology | 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 | 2016-09-22 |
| 1043579550 | Midwest Eye Consultants, P.C. | Ophthalmology | 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 | 2012-05-04 |
| 1033478540 | Midwest Eye Consultants, P.C. | Ophthalmology | 1601 W Lincoln Rd, Kokomo, IN 46902-3275 | 2012-05-04 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| 1164493011 | Theodore Jere Stransky | Ophthalmology | 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 | 2006-01-30 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on AMIR REZA HAJRASOULIHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.