| NPI | 1639107790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUS SAMAD LAKHANI Owner Physician 219-464-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01044934A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01062237A) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-02-08 |