Search › Indiana › 3747A0650X
Michael Fagbamiye, CEO
NPI 1457226276 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6025 Peregrine Blvd
Indianapolis, IN 46228 - Phone
- (317) 652-6420
Registry record
- Primary taxonomy
- 3747A0650X
3747A0650X
- Also registered as
- 253Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana