Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 01071186A | IN |
N | 207RC0200X | Critical Care Medicine | 35066152 | OH |
Y | 207RP1001X | Pulmonary Disease | 01071186A | IN |
N | 207RP1001X | Pulmonary Disease | 36066152 | OH |
N | 207RS0012X | Sleep Medicine | 01071186A | IN |
N | 207RS0012X | Sleep Medicine | 35066152 | OH |
NPI | 1043280670 |
---|---|
Provider Name | Salim S Abou Jaoude |
First Address | Greenwood, IN 46143-7241 |
Second Address | Lafayette, IN 47905-4922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 11/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0958567 | (05) | OH |
201104960 | (05) | IN |
E20312 | (02) | OH |