AZHAR IMTIYAZ DALAL

INDIANAPOLIS, IN
NPI1750038709
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11023422A)
Enumeration Date2022-03-08
Last Update Date2024-08-16
Business Address
AZHAR IMTIYAZ DALAL
1120 W MICHIGAN ST # CL365
INDIANAPOLIS, IN 46202-5209
Phone number: 317-274-0267
Mailing Address
AZHAR IMTIYAZ DALAL
120 W MICHIGAN ST # CL365
INDIANAPOLIS, IN 46204
Phone number: 317-274-0267