| Faiqa Mohyuddin, MD | |
|
6091 Broadway, Merrillville, IN 46410-2619 | |
| (219) 763-8112 | |
| (219) 764-3251 |
| Full Name | Faiqa Mohyuddin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6091 Broadway, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164661922 | NPI | - | NPPES |
| 01071717A | Other | IN | STATE LICENSE |
| 036121290 | Other | IL | STATE LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036121290 (Illinois) | Primary |
| Entity Name | Northshore Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Faiqa Mohyuddin, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Faiqa Mohyuddin, MD 6091 Broadway, Merrillville, IN 46410-2619 Ph: (219) 763-8112 |
Dr. Oren Michael Conway, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9247 Broadway, Suite B, Merrillville, IN 46410 Phone: 219-769-6970 Fax: 219-769-6768 | |
Srikietr Dhana, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8300 Broadway, Suite C, Merrillville, IN 46410 Phone: 219-738-1916 Fax: 219-736-5685 | |
Dr. Halah Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 99 E 86th Ave Ste D, Merrillville, IN 46410 Phone: 219-736-9690 Fax: 219-736-9691 | |
Mrs. Frances L Essary, RN CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9247 Broadway, Suite B Dr Oren M Conway Md Pc, Merrillville, IN 46410 Phone: 219-769-6970 Fax: 219-769-6768 | |
Clark Kramer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 W 80th Pl, Merrillville, IN 46410 Phone: 219-736-1400 |