Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebtehal Ebrahim

Individual provider Lactation Consultant (Non-RN) · NPI 1205617446

Ebtehal Ebrahim is a Lactation Consultant (Non-RN) in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023

Practice location Address checks out

8111 Township Line Rd
Indianapolis, IN 46260-2479
Phone: (317) 415-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X (IN)

Record details

NPI number1205617446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address8111 Township Line Rd, Indianapolis, IN 46260-2479

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