Individual
SARA OMAR KANOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 SENATE BLVD, INDIANAPOLIS, IN 46202-1228
(317) 962-2000
Mailing address
1633 N CAPITOL AVE STE 640, INDIANAPOLIS, IN 46202-1281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02006912A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2019
Last updated
09/05/2023
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