Provider Demographics
NPI:1689760274
Name:DURRANI, JAMEEL FARRUKH (MD FACP FCCP D,ABSM)
Entity Type:Individual
Prefix:DR
First Name:JAMEEL
Middle Name:FARRUKH
Last Name:DURRANI
Suffix:
Gender:M
Credentials:MD FACP FCCP D,ABSM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
Mailing Address - Fax:
Practice Address - Street 1:1701 SENATE BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-962-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD426228207R00000X, 207RC0200X, 207RP1001X, 207RS0012X
IN01085133A207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2378460OtherUNITEDHEALTHCARE
PA1012685510001Medicaid
PA7073539OtherAETNA
PA93891OtherGEISINGER HEALTH PLAN
PA1732838OtherHIGHMARK BLUE SHIELD
PA820732OtherFIRST PRIORITY HEALTH
PAH94914OtherHEALTHAMERICA
PA2378460OtherUNITEDHEALTHCARE
PA93891OtherGEISINGER HEALTH PLAN
PAH94914OtherHEALTHAMERICA