| Dr Ibrahim Samir Zabaneh, MD | |
|
2150 Gettler St Ste 260, Dyer, IN 46311-2381 | |
| (219) 864-2626 | |
| (219) 864-2627 |
| Full Name | Dr Ibrahim Samir Zabaneh |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2150 Gettler St Ste 260, Dyer, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821004359 | NPI | - | NPPES |
| 200200450 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01048715A (Indiana) | Primary |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ibrahim Samir Zabaneh, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Ibrahim Samir Zabaneh, MD 2150 Gettler St Ste 260, Dyer, IN 46311-2381 Ph: (219) 864-2626 |
Sameer Sharma, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-864-2086 | |
Anthony Nicholas Gentile, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 | |
Roman Puliaev, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 260, Dyer, IN 46311 Phone: 219-864-2626 Fax: 219-264-2627 | |
Jessica Hope Siegler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 260, Dyer, IN 46311 Phone: 219-864-2626 Fax: 219-864-2627 | |
Howard O Grundy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2036 Fax: 219-864-2253 |