Provider Demographics
NPI:1770105801
Name:MY METABOLISM
Entity type:Organization
Organization Name:MY METABOLISM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:TARRABAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-662-4755
Mailing Address - Street 1:8250 BASH ST # A4
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-1938
Mailing Address - Country:US
Mailing Address - Phone:317-698-9128
Mailing Address - Fax:
Practice Address - Street 1:14342 W PREVAIL DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-7004
Practice Address - Country:US
Practice Address - Phone:317-662-4755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty