Individual
BASSAM N HELOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7120 CLEARVISTA DRIVE, SUITE 2100, INDIANAPOLIS, IN 46256-0020
(317) 621-2740
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01039120A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01039120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100354280A
—
IN
01
—
P01214583
RR MEDICARE PTAN
IN
Enumeration date
06/13/2005
Last updated
05/26/2015
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