Alakhras, Mazen

Alakhras, Mazen is an individual health care provider with primary practice located at 3920 St Francis Way Ste 220 , Lafayette IN 47905-4922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Alakhras, Mazen can be contacted via phone (765) 428-5950.

Contact Information

Primary practice address
3920 St Francis Way Ste 220 Lafayette IN 47905-4922
Phone: (765) 428-5950
Fax: (765) 428-5951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 46921 Minnesota
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 01054848A Indiana

Profile Details

NPI number 1285617803
LBN Legal business name Alakhras, Mazen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285617803 NPPES
Indiana Other 000000623110 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200948240 ANTHEM PROVIDER NUMBER

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