Organization
ZABANEH MEDICAL CORPORATION
Active
Other names
MUNSTER OB GYN CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM SAMIR ZABANEH M.D. (PRESIDENT)
(219) 836-1135
Entity
Organization
Contact information
Practice address
1644 45TH AVE, MUNSTER, IN 46321-3970
(219) 836-1135
(219) 836-1157
Mailing address
1644 45TH AVE, MUNSTER, IN 46321-3970
(219) 836-1135
(219) 836-1157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01048715
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M100016623
PTAN
IN
Enumeration date
03/28/2007
Last updated
02/20/2013
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