Mark Samir Boutros in Indianapolis - Internal Medicine
Mark Samir Boutros - NPI 1700992674
Mark Samir Boutros is a Internal Medicine in Indianapolis, Indiana. Mark Samir Boutros practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mark Samir Boutros is 1700992674. The last update date is 2018-06-17.
Mark Samir Boutros's current location address is 4200 S East St, Indianapolis, Indiana. You can contact this provider via phone number 3179917600 and fax number 3172157038. The mailing address for Mark Samir Boutros is 4200 S East St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Samir Boutros |
|---|---|
| Address | 4200 S East St, Indianapolis, Indiana |
| Phone Number | 3179917600 |
| Fax Number | 3172157038 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700992674 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2018-06-17 |
Provider Mailing Address Detail
| Address | 4200 S East St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462271534 |
| Phone Number | 3179917600 |
| Fax Number | 3172157038 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 01070720A |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code issued to Mark Samir Boutros by the Centers for Medicare & Medicaid Services?
The Mark Samir Boutros has been assigned the NPI (National Provider Identifier) 1700992674 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Mark Samir Boutros located?
The Mark Samir Boutros is located at 4200 S East St, Indianapolis, IN 462271534.
What is the Mark Samir Boutros's specialty and taxonomy code?
The Mark Samir Boutros's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Mark Samir Boutros receive its 1700992674 assignment?
The Mark Samir Boutros was assigned its 1700992674 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the Mark Samir Boutros's information last updated?
The Mark Samir Boutros's information was last updated on 2018-06-17.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH