Individual provider · Type 1 NPI

Michael Boulous, MD

Vascular & Interventional Radiology Physician · Indianapolis, IN

NPI number 1225590169 Active

Practice location

550 University Blvd
Indianapolis, IN 46202-5149

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X01086907A (IN)
Vascular & Interventional Radiology Physician Primary 2085R0204X01086907A (IN)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1225590169

Michael Boulous, MD's National Provider Identifier is 1225590169, issued on Apr 1, 2019. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 14, 2025.