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

Mr. Carl Boulos, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023674397

Mr. Carl Boulos, MD is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9500 Euclid Ave # JJ24
Cleveland, OH 44195-0001
Phone: (216) 444-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1023674397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2019
Last updated in NPPESMay 17, 2023
Certification dateApril 4, 2023
Mailing addressCleveland Clinic 9500 Euclid Avenue/Jj24, Cleveland, OH 44195-0001

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