Provider Demographics
NPI:1225464324
Name:NURI, HALKAWT ALI (MD)
Entity Type:Individual
Prefix:
First Name:HALKAWT
Middle Name:ALI
Last Name:NURI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:545 BARNHILL DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-5112
Mailing Address - Country:US
Mailing Address - Phone:317-274-7150
Mailing Address - Fax:317-274-2940
Practice Address - Street 1:545 BARNHILL DR
Practice Address - Street 2:SUITE 215
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5112
Practice Address - Country:US
Practice Address - Phone:317-274-7150
Practice Address - Fax:317-274-2940
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
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Provider Licenses
StateLicense IDTaxonomies
IN11017478A2086S0120X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery