Individual
DR. ELIAS A DALLOUL
Active
Individual
DR. ELIAS A DALLOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01055767A
IN
207RI0011X
Interventional Cardiology Physician
01055767A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220344
ANTHEM PIN
IN
01
—
060067299
RAILROAD MEDICARE
IN
01
—
100778
FEDERAL BLACK LUNG
IN
05
—
200378660
—
IN
Enumeration date
02/13/2006
Last updated
07/08/2008
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