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1710245626
AUSAMA M ISMAIL
INDIANAPOLIS, IN
NPI
1710245626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01075182A)
Enumeration Date
2012-04-27
Last Update Date
2021-01-12
Business Address
AUSAMA M ISMAIL M.D.
9650 E WASHINGTON ST STE 100
INDIANAPOLIS, IN 46229-3032
Phone number: 317-890-5500
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Mailing Address
AUSAMA M ISMAIL M.D.
250 N SHADELAND AVE STE 130
INDIANAPOLIS, IN 46219-4959
Phone number: 317-890-5500
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