MAHAM MUSHTAQ (NPI# 1386040046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386040046 |
| Entity Type | Individual |
| Full Name | MAHAM MUSHTAQ |
| Credential | PA |
| Practice Address |
5759 James Blair Dr Indianapolis IN 46234-3226 |
| Mailing Address |
1732 Russells Point Ct Lawrenceville GA 30043-3064 |
| Practice Telephone | 3173737427 |
| Mailing Telephone | 4046424274 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10001768A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5759 JAMES BLAIR DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46234-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619947 | Kyra Cooke | Registered Nurse | 5570 Goodwin St, Indianapolis, IN 46234 | 2020-11-06 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1316442072 | Ondrea Robinson | Counselor | 3636 N Raceway Rd, Suite 400, Indianapolis, IN 46234 | 2018-03-26 |
| 1629504303 | Life's Journey of Avon,llc | Hospice Care, Community Based | 10241 E. Co Rd 100 N., Indianapolis, IN 46234 | 2017-05-02 |
| 1235681776 | Michael Sundell | Specialist/Technologist | 9022 W 52nd St, Indianapolis, IN 46234 | 2016-11-01 |
| 1396033106 | Jill Carson Aldrich | Dentist | 10373 E County Road 100 N, Indianapolis, IN 46234 | 2011-07-13 |
| 1861603243 | Rodrigo Del Castillo Edo | Physical Therapist | 8616 West Tenth Street, Indianapolis, IN 46234 | 2007-05-25 |
| 1316072242 | Michael S. Miller Do, Facos, Cws, PC | Surgery | 8355 Rockville Rd # 120, Indianapolis, IN 46234 | 2007-02-22 |
| 1427114651 | Eagle Highland Pharmacy | Pharmacy | 9010 Crawfordsville Rd., Indianapolis, IN 46234 | 2006-12-30 |
| 1033166871 | Hendricks County Hospital | Skilled Nursing Facility | 8616 W 10th St, Indianapolis, IN 46234 | 2006-05-27 |
| Find all providers in zip 46234 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
| 1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
| 1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
| 1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
| 1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
| 1154843704 | Jennifer Trapuzzano | Physician Assistant | 1801 N Senate Blvd Ste 310, Indianapolis, IN 46202-1196 | 2017-07-14 |
| 1154879666 | Grace Schultz | Physician Assistant | 1408 Broadway St Apt F, Indianapolis, IN 46202-2744 | 2016-09-13 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| 1285030924 | Margaret Anne Voelker-park | Physician Assistant | 550 University Blvd Unit 3240, Indianapolis, IN 46202-5250 | 2014-11-07 |
| 1447650726 | Bridget Williamson | Physician Assistant | 8282 Morel Dr, Indianapolis, IN 46256-8106 | 2014-08-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46234 |
Please comment or provide details below to improve the information on MAHAM MUSHTAQ.
| 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.