ABALA KOMA TASSIKE NPI 1215665450

NPI Information

NPI: 1215665450
Provider Name: ABALA KOMA TASSIKE
Classification: Driver - 172A00000X
Entity Type: Individual
Address:
5455 W 86TH ST STE 155
INDIANAPOLIS, IN
ZIP 46268
Phone: (309) 644-2037
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Abala Koma Tassike is a driver in Indianapolis, IN. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Abala Koma Tassike NPI is 1215665450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5455 W 86TH ST STE 155
INDIANAPOLIS, IN
ZIP 46268-540
Phone: (309) 644-2037

The enumeration date for this NPI number is 8/14/2022 and was last updated on 8/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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