# RAPID RESPONSE

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

## Provider details

- **NPI number:** 1467742965
- **Authorized official:** MR. SIRAJ K AHMED M.D. (PRESIDENT)
- **Authorized official phone:** (219) 878-5864

## Contact information

- **Practice address:** 10176 W 400 N, SUITE D, MICHIGAN CITY, IN 46360-9009
- **Practice address phone:** (219) 878-5864
- **Practice address fax:** (219) 878-0632
- **Mailing address:** 10176 W 400 N, SUITE B, MICHIGAN CITY, IN 46360-9009
- **Mailing address phone:** (219) 878-5864
- **Mailing address fax:** (219) 878-0632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 01041335 | IN | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | 01041335 | IN | — |
| 207RP1001X | Pulmonary Disease Physician | 01041335 | IN | — |
| 208D00000X | General Practice Physician | 01041335 | IN | Yes |

## Other

- **Enumeration date:** 04/18/2011
- **Last updated:** 04/18/2011