AHSRAF Y ABOU EL EZZ

ANDERSON, IN
NPI1841291986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01079419A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: KY  34646)
Enumeration Date2005-08-10
Last Update Date2018-09-06
Business Address
AHSRAF Y ABOU EL EZZ MD
2015 JACKSON ST
ANDERSON, IN 46016-4337
Phone number: 765-649-2511
Mailing Address
AHSRAF Y ABOU EL EZZ MD
250 W 96TH ST # 520
INDIANAPOLIS, IN 46260-1316
Phone number: