Individual
ESLAM WASSAL YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-6201
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01086480A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01086480A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/19/2015
Last updated
12/25/2023
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