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Individual

TAREK DABBOUSSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7250 CLEARVISTA DR STE 380, INDIANAPOLIS, IN 46256-5608
(317) 621-3700
(317) 621-3701
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
02007283A
IN
207QS1201X
Sleep Medicine (Family Medicine) Physician
11020752A
IN
390200000X
Student in an Organized Health Care Education/Training Program
IN

Other

Enumeration date
04/15/2019
Last updated
10/04/2023
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