DR. BASSEM I RAZZOUK


Address: 2001 W 86th St, Indianapolis, IN 46260-1902
Phone: 3173384673

DR. BASSEM I RAZZOUK (NPI# 1124021829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124021829
Entity Type Individual
Full Name DR. BASSEM I RAZZOUK
Credential MD
Practice Address 2001 W 86th St
Indianapolis
IN 46260-1902
Mailing Address 10330 N Meridian St
Suite 201
Indianapolis
IN 46290-1024
Practice Telephone 3173384673
Practice Fax Number 3173383227
Enumeration Date 2005-05-27
Last Update Date 2012-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0207X Pediatrics
Specialization: Pediatric Hematology-Oncology
01063092A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 009913930 05
IA 0535740 05
TX 060502401 05
MS 00119428 05
LA 1550469 05
OK 100017620A 05
WY 1135341 00 05
KY 64928971 05
NC 7611308 05
SC Q30048 05
VA 006737242 05
MO 205028707 05
IN 200179550A 05
TN 3898886 05
ME 422400000 05

Office Location

Street Address 2001 W 86TH ST
City INDIANAPOLIS
State IN
Zip Code 46260-1902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881209294 Jennifer L Maupin Nurse Practitioner 2001 W 86th St, Indianapolis, IN 46260-1902 2020-09-11
1851904973 Taylor Anne Vandervort Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-28
1437762796 Casey Michelle O'neal Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-08-26
1396360590 Kathleen Sue Lilegdon Dietitian, Registered 2001 W 86th St, Indianapolis, IN 46260-1902 2020-06-12
1033732979 Rachel Leigh Thelen Physician Assistant 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-27
1942823976 Shelby Nichole Preston Dietitian, Registered 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-26
1396367165 Gabrielle Ann Vickery Registered Nurse 2001 W 86th St, Indianapolis, IN 46260-1902 2020-05-14
1154950798 Kaylee Elizabeth Poole Pharmacist 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-06
1326677014 Julie Mary Bittar Student in an Organized Health Care Education/Training Program 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-03
1427687235 Fawaz Hasnain Student in an Organized Health Care Education/Training Program 2001 W 86th St, Indianapolis, IN 46260-1902 2020-04-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 2080P0207X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Hematology-Oncology

Taxonomy Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881983625 Jacquelyn Leigh Carter Pediatrics 705 Riley Hospital Dr Rm 4340, Indianapolis, IN 46202-5109 2011-04-01
1487692794 John Randall Edwards Pediatrics 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 2006-06-02
1275950438 Jennifer Belsky Pediatrics 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2014-03-26
1942542253 April Rahrig Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 2013-03-25
1316205891 Alex Herbert Lion Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202 2012-05-02
1396003273 Daniel Vincent Runco Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 2012-04-27
1730447038 Cristiana Hentea Pediatrics 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 2012-04-25
1891052171 Miriam Grace Kim Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 2012-04-11
1205192408 Rachael Rae Schulte Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 2012-04-02
1750651253 Kristy L Pilbeam Pediatrics 705 Riley Hospital Dr, Roc 4340, Indianapolis, IN 46202-5109 2011-12-31
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46260

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Dataset Information

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.

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