# CROWN FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1477600401
- **Authorized official:** DR. KAMARTAJ SAIFULLAH QUADRI MD (PRESIDENT)
- **Authorized official phone:** (219) 662-7583

## Contact information

- **Practice address:** 200 S WEST ST, CROWN POINT, IN 46307-3908
- **Practice address phone:** (219) 662-7583
- **Practice address fax:** (219) 662-7378
- **Mailing address:** 200 SOUTH WEST STREET, CROWN POINT, IN 46307-4848
- **Mailing address phone:** (219) 662-7583
- **Mailing address fax:** (219) 662-7378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01050515A | IN | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 01/19/2017