NPI 1083843965

Houssein O Ghoulame

Practitioner Driver Noblesville, IN

Practice location

Address: 19453 Amber Way, Noblesville, IN 46060-8389
Phone: (317) 809-1055

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 0430-82-9020 (IN)

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Registry record

NPI: 1083843965
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2009
Record last updated: 13 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.