| NPI | 1538279831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIRA AHMED Owner 219-769-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 50004849A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01047385A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-12-19 |