# NORTHWEST INDIANA MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033581962
- **Authorized official:** IBRAHIM ZABANEH MD (MANAGING PARTNER)
- **Authorized official phone:** (219) 836-1152

## Contact information

- **Practice address:** 1644 45TH AVE, MUNSTER, IN 46321-3970
- **Practice address phone:** (219) 836-1152
- **Practice address fax:** (219) 513-9162
- **Mailing address:** 1644 45TH AVE, MUNSTER, IN 46321-3970
- **Mailing address phone:** (219) 836-1152
- **Mailing address fax:** (219) 513-9162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | IN | Yes |
| 208800000X | Urology Physician | — | IN | — |

## Other

- **Enumeration date:** 10/30/2015
- **Last updated:** 03/07/2016