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Contact Information

IBRAHIM S ABU ROMEH, MD
1115 RONALD REAGAN PKWY
STE 171
AVON, IN46123-6910
 Phone: 317-217-3000
 Fax: 317-273-5988
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IBRAHIM S ABU ROMEH · (Male)

NPI Number 1215129341
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2007
Last updated 05/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01077129A
  • MI License # 4301100113
  • IN Medicaid 201377520
  • MI Medicaid 1598968547
  • IN Other 000001027334 ANTHEM PTAN
  • IN Other 000001027338 ANTHEM PTAN
  • IN Other 000001624244 ANTHEM PTAN
  • MI Other 1215129341 BCBS TYPE 1 (IND) NPI #
  • MI Other 11808031 CAQH
  • MI Other 5315053798 CDS #
  • MI Other 4301081138 MI LICENSE #
  • MI Other D0072852 STATE LICENSE #
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH - (Acute Care)
    1701 N SENATE BLVD
    INDIANAPOLIS, IN 46202
  • IU HEALTH WEST HOSPITAL - (Acute Care)
    1111 N RONALD REAGAN PKWY
    AVON, IN 46123
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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