Individual provider · Type 1 NPI

Carl Boulos, MD

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1023674397 Active

Practice location

9500 Euclid Ave # JJ24
Cleveland, OH 44195-0001

Mailing address

Cleveland Clinic 9500 Euclid AVENUE/JJ24
Cleveland, OH 44195-0001

Other practice locations

  • 3990 John R, Detroit, MI 48201 · (313) 745-7233

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023674397

Carl Boulos, MD's National Provider Identifier is 1023674397, issued on May 13, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on May 17, 2023.