Doctor Name: | MR. HOUSSEIN O GHOULAME |
NPI Number: | 1083843965 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0430-82-9020 |
Business Practice Address: | 19453 Amber Way Noblesville, IN - 460608389 |
Business Phone Number: | 3178091055 |
Business Fax Number: | |
Mailing Address: | 19453 Amber Way, NOBLESVILLE |
State: | IN |
Postal Code: | 460608389 |
Phone Number: | 3178091055 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 0430-82-9020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |