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1164661922
FAIQA MOHYUDDIN
MERRILLVILLE, IN
NPI
1164661922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036121290)
Enumeration Date
2009-02-18
Last Update Date
2012-10-04
Business Address
-- FAIQA MOHYUDDIN M.D.
6091 BROADWAY
MERRILLVILLE, IN 46410-2619
Phone number: 219-763-8112
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Mailing Address
-- FAIQA MOHYUDDIN M.D.
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112
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