EMAN BOULIS MD NPI 1265617047

NPI Information

NPI: 1265617047
Provider Name: EMAN BOULIS, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
210 4TH AVE
GRINNELL, IA
ZIP 50112
Phone: (641) 236-7511
Get Directions

Eman Boulis, MD is a rheumatology internal medicine in Grinnell, IA with 27 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Eman Boulis, MD NPI is 1265617047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

210 4TH AVE
GRINNELL, IA
ZIP 50112-898
Phone: (641) 236-7511
Fax: (641) 236-2058

The NPI 1265617047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 3/7/2023.

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	207R00000X	Internal Medicine		MD433023	PENNSYLVANIA	No
2	207RR0500X	Internal Medicine	Rheumatology	20150	MISSISSIPPI	Yes
3	207RR0500X	Internal Medicine	Rheumatology	MD-41825	IOWA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD-41825	OTHER	IOWA	IA LICENSE
2	1246481	OTHER	IOWA	IA CSA
3	102065830	MEDICAID	PENNSYLVANIA

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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