FARDAD MASSOUMI BAVIL

MUNSTER, IN
NPI1013104546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01065755A)
Enumeration Date2007-09-28
Last Update Date2023-06-23
Business Address
FARDAD MASSOUMI BAVIL MD
7905 CALUMET AVE
MUNSTER, IN 46321-2549
Phone number: 219-836-3049
Mailing Address
FARDAD MASSOUMI BAVIL MD
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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