| NPI | 1053492926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRAJ K AHMED Physician/President 219-878-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 50003970A) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-04-28 |