| Michiana Hospitalist Llc | |
|
51265 Amesburry Way Granger IN 46530-4828 | |
| (574) 243-4875 | |
| (574) 243-4847 |
| Full Name | Michiana Hospitalist Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 51265 Amesburry Way, Granger, Indiana |
| Authorized Official Name and Position | Shamoon Ahmed (MEDICAL DIRETOR) |
| Authorized Official Contact | 5742434875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michiana Hospitalist Llc 51265 Amesburry Way Granger IN 46530-4828 Ph: (574) 243-4875 | Michiana Hospitalist Llc 51265 Amesburry Way Granger IN 46530-4828 Ph: (574) 243-4875 |
| NPI Number | 1104985464 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104985464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Indiana) | Primary |
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