Sahlol, Mark Hazem

Sahlol, Mark Hazem is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sahlol, Mark Hazem can be contacted via phone (219) 865-2141.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 865-2141
Fax: (219) 852-2502
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD152202 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036124446 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01075458A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01075458A Indiana

Profile Details

NPI number 1184930604
LBN Legal business name Sahlol, Mark Hazem
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2010
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184930604 NPPES
Indiana MEDICAID 201292580

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