Organization
NEW PEDIATRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUHAIR ALSAKAJI (DIRECTOR)
(219) 795-1660
Entity
Organization
Contact information
Practice address
7863 BROADWAY, SUITE 140, MERRILLVILLE, IN 46410-5553
(219) 795-1660
(219) 795-1630
Mailing address
7863 BROADWAY, SUITE 140, MERRILLVILLE, IN 46410-5553
(219) 795-1660
(219) 795-1630
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
01046051A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338446
ANTHEM
—
05
—
036094958
—
IL
05
—
200207090
—
IN
01
—
90001185
BLUE CROSS OF ILLINOIS
—
Enumeration date
08/21/2006
Last updated
11/04/2008
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