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NPI Code Detail

MEDICARE: SALIM S ABOU JAOUDE MD

MEDICARE:   SALIM S ABOU JAOUDE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician35066152OH
2207RC0200XCritical Care Medicine (Internal Medicine) Physician01071186AIN
3207RP1001XPulmonary Disease Physician36066152OH
4207RS0012XSleep Medicine (Internal Medicine) Physician35066152OH
5207RS0012XSleep Medicine (Internal Medicine) Physician01071186AIN
6207RP1001XPulmonary Disease Physician01071186AIN

Other Identifiers

General Provider Information

NPI Number : 1043280670
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALIM S ABOU JAOUDE MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 3920 ST FRANCIS WAY STE 220
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-4922
Country : US
Telephone Number : 765-428-5950
Fax Number : 765-428-5951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 12/27/2022

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Directions to “ SALIM S ABOU JAOUDE MD” Practice Location

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