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Individual

ISLAM AHMED GHONEIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8402 HARCOURT RD STE 500, INDIANAPOLIS, IN 46260-2054
(317) 338-6701
Mailing address
8402 HARCOURT RD STE 500, INDIANAPOLIS, IN 46260-2054

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
01070263A
IN
208800000X
Urology Physician
Primary
01070263A
IN

Other

Enumeration date
09/18/2009
Last updated
06/23/2022
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