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Organization
SURGICAL SPECIALISTS, LLC
Active
Organization
SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ATIF M.D. (PRESIDENT)
(219) 302-8396
Entity
Organization
Contact information
Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 302-8396
Mailing address
7630 LINCOLN MILL RD, HOBART, IN 46342-7006
(219) 771-3740
(219) 942-2276
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
01062340B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000561613
BLUE CROSS BLUE SHIELD
IN
01
—
200846010
INDIVIDUAL MEDICAID
IN
05
—
200982290
—
IN
01
—
267630A
INDIVIDUAL MEDICARE PIN
IN
Enumeration date
01/19/2010
Last updated
04/06/2017
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