Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Antoine Boustany, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669044871

Dr. Antoine Boustany, MD is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18101 Lorain Ave
Cleveland, OH 44111-5612
Phone: (216) 385-6863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 57.251393 (OH)

Record details

NPI number1669044871
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESAugust 27, 2022
Certification dateAugust 27, 2022
Mailing address18101 Lorain Ave, Cleveland, OH 44111-5612

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