IndividualActive
Michael Boulous, MD
NPI 1225590169 · Vascular & Interventional Radiology Physician · Indianapolis, IN
Provider details
- NPI number
- 1225590169
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01086907A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
550 University Blvd
Indianapolis, IN 46202-5149
Phone: (317) 944-2621
Approximate (ZIP-level) locationGet directions
Mailing address
9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.