Central Indiana Pulmonary Consultants, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

01052617A Issued in IN

Legal business name

CENTRAL INDIANA PULMONARY CONSULTANTS, LLC

Practice address

1350 E County Line Rd
Suite H
Indianapolis, IN 46227-0873

Phone

(317) 887-7588

Fax

(317) 887-7585

NPI assigned

Sep 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abboud Kawak, M.D.

Title

Owner

Phone

(317) 887-7588

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1649529462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7588",
            "fax_number": "317-887-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E COUNTY LINE RD",
            "address_2": "SUITE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270873",
            "telephone_number": "317-887-7588",
            "fax_number": "317-887-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PULMONARY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "KAWAK",
        "authorized_official_first_name": "ABBOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-887-7588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01052617A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.