Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 01071916A | IN |
NPI | 1174751218 |
---|---|
Provider Name | Zineb Abdelkarim Ammous |
First Address | Topeka, IN 46571-9476 |
Second Address | Topeka, IN 46571-9476 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2009 |
Last Update Date | 27/06/2019 |