Individual
DR. ELIAS SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0021
(219) 852-1524
(219) 933-2288
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
01077325A
IN
207R00000X
Internal Medicine Physician
125062468
IL
208M00000X
Hospitalist Physician
Primary
01077325A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611630276
FRANCISCAN PHYSICIAN NETWORK
IN
Enumeration date
08/10/2012
Last updated
04/18/2025
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