Individual
OMAR SALLOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 N SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 278-2032
Mailing address
1801 N SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 278-2032
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01097097A
IN
Other
Enumeration date
06/11/2020
Last updated
07/25/2025
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