WESSAM BOUTROS BOU-ASSALY NPI 1851581540

NPI Information

NPI: 1851581540
Provider Name: WESSAM BOUTROS BOU-ASSALY
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2155 FULLER RD
RADIOLOGY DEPARTMENT/ VA HEALTH CENTER
ANN ARBOR, MI
ZIP 48105
Phone: (734) 761-7959
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Wessam Boutros Bou-assaly is a specialist in Ann Arbor, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Wessam Boutros Bou-assaly NPI is 1851581540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2155 FULLER RD
RADIOLOGY DEPARTMENT/ VA HEALTH CENTER
ANN ARBOR, MI
ZIP 48105
Phone: (734) 761-7959

The enumeration date for this NPI number is 7/28/2007 and was last updated on 2/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	4301089243	MICHIGAN	No
2	2085R0202X	Radiology	Diagnostic Radiology	4301089243	MICHIGAN	No
3	174400000X	Specialist		4301089243	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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