Samad, Marwan Abdul
Samad, Marwan Abdul is an sole proprietor health care provider with primary practice located at 8224 Calumet Ave , Munster IN 46321-1704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Samad, Marwan Abdul can be contacted via phone (219) 836-1855.Contact Information
Primary practice address
8224 Calumet Ave
Munster IN 46321-1704
Phone: (219) 836-1855
Fax: (219) 836-0527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01040993A | Indiana |
Profile Details
NPI number | 1881609295 |
---|---|
LBN Legal business name | Samad, Marwan Abdul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2006 |
Last updated | Oct 17th, 2015 - about 10 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881609295 | NPPES |
Indiana | MEDICAID | 100319360A |
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