Individual
ADAM N. YAMOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12750 ST FRANCIS DR, CROWN POINT, IN 46307-0264
(219) 757-6121
(219) 681-6897
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004663A
IN
207R00000X
Internal Medicine Physician
T-2136
MS
208M00000X
Hospitalist Physician
Primary
02004663A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001786
—
IN
01
—
T-2136
TEMPORARY STATE MEDICAL LICENSE
MS
Enumeration date
07/06/2008
Last updated
01/11/2024
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