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
Fax: (219) 836-0527
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881609295 NPPES
Indiana MEDICAID 100319360A

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