| Optimum Primary Care Llc | |
|
7330 Indianapolis Blvd Hammond IN 46324-2941 | |
| (219) 844-1444 | |
| Not Available |
| Full Name | Optimum Primary Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7330 Indianapolis Blvd, Hammond, Indiana |
| Authorized Official Name and Position | Khaled A Reheem-farag (PRESIDENT) |
| Authorized Official Contact | 7738419238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Primary Care Llc 11116 Saratoga Dr Orland Park IL 60467-8740 Ph: (773) 841-9238 | Optimum Primary Care Llc 7330 Indianapolis Blvd Hammond IN 46324-2941 Ph: (219) 844-1444 |
| NPI Number | 1073748216 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 03/28/2011 |
| Medicare PECOS PAC ID | 4880744861 |
|---|---|
| Medicare Enrollment ID | O20090625000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073748216 | NPI | - | NPPES |
| IL2028 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01059379A (Indiana) | Primary |
| Provider Name | Khaled A Reheem Farag |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811931108 PECOS PAC ID: 0143282228 Enrollment ID: I20041101000634 |
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