Individual
DR. ABBOUD KAWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 E COUNTY LINE RD STE 325, INDIANAPOLIS, IN 46227-0967
(317) 497-6666
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01052617A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267790A
—
IN
Enumeration date
02/14/2006
Last updated
12/13/2017
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