Individual
DR. MAJD KANBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5800 BROADWAY, MERRILLVILLE, IN 46410-2601
(219) 884-9180
Mailing address
6121 CLEVELAND ST, MERRILLVILLE, IN 46410-2302
(219) 738-5985
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01084036A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01084036A
IN
207RI0011X
Interventional Cardiology Physician
01084036A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2011
Last updated
08/25/2023
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