| NPI | 1821600198 |
|---|---|
| Doing Business As | PORTER PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | HAROON RASHID ANSARI CEO 219-796-4103 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |