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Organization
NORTHWEST INDIANA MEDICAL ASSOCIATES, LLC
Active
Organization
NORTHWEST INDIANA MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM ZABANEH MD (MANAGING PARTNER)
(219) 836-1152
Entity
Organization
Contact information
Practice address
1644 45TH AVE, MUNSTER, IN 46321-3970
(219) 836-1152
(219) 513-9162
Mailing address
1644 45TH AVE, MUNSTER, IN 46321-3970
(219) 836-1152
(219) 513-9162
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IN
208800000X
Urology Physician
—
IN
Other
Enumeration date
10/30/2015
Last updated
03/07/2016
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