Individual
HANIFA WAARITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 BROADWAY, GARY, IN 46407-2238
(219) 882-0980
Mailing address
3 DETROIT ST, HAMMOND, IN 46320-3003
(773) 814-1814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209019627
IL
Other
Enumeration date
01/19/2021
Last updated
02/03/2021
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