Organization
AGAM ENTERPRISES
Active
Organization
AGAM ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYMAN GHONIEM MD (OWNER)
(812) 320-7229
Entity
Organization
Contact information
Practice address
2723 S 7TH ST, TERRE HAUTE, IN 47802-3584
(812) 237-1625
(812) 234-8262
Mailing address
PO BOX 2064, INDIANAPOLIS, IN 46206-2064
(812) 234-8261
(812) 234-8262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01056877A
IN
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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