Individual
DAFALLA O ELOBAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2346 S LYNHURST DR, INDIANAPOLIS, IN 46241-8621
(317) 247-7993
Mailing address
PO BOX 22295, INDIANAPOLIS, IN 46222-0295
(317) 319-8521
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
IN
Other
Enumeration date
03/02/2007
Last updated
02/14/2008
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