| NPI | 1477600401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMARTAJ SAIFULLAH QUADRI President 219-662-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01050515A) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-01-19 |