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NPI 1235768078 · live from the CMS NPI Registry

Ahmad Dabbouseh, DPM

Podiatrist, Foot & Ankle Surgery in Munster, IN. National Provider Identifier 1235768078, active.

NPI record

NPI1235768078 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location9900 Columbia Ave, Munster, IN 46321
Practice phone219-924-3300
Mailing address4440 W 95th St, Oak Lawn, IL 60453
EnumeratedApril 3, 2020
Last updatedFebruary 13, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103X07001415A (IN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.