Provider Demographics
NPI:1568447514
Name:JALOU, HASNAA ESKANDAR (MD)
Entity Type:Individual
Prefix:DR
First Name:HASNAA
Middle Name:ESKANDAR
Last Name:JALOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:317-688-5700
Mailing Address - Fax:
Practice Address - Street 1:705 RILEY HOSPITAL DR
Practice Address - Street 2:ROC 4270
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-688-5700
Practice Address - Fax:317-688-5739
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054362A2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200337460Medicaid
H42182Medicare UPIN
IN200337460Medicaid