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Organization

REGENERATIVE PAIN & SPINE OF INDIANA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHOEB MOHIUDDIN MD (OWNER)
(312) 300-3882
Entity
Organization

Contact information

Practice address
7725 BROADWAY, MERRILLVILLE, IN 46410-4731
(312) 300-3882
Mailing address
7725 BROADWAY, MERRILLVILLE, IN 46410-4731

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
10/02/2025
Last updated
10/02/2025
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