| NPI | 1093801052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ABDUL RAOOF SIDDIQUI President 219-865-0918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01041447) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-10-14 |