| NPI | 1467742965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRAJ K AHMED President 219-878-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 01041335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01041335) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01041335) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01041335) | |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |