Organization
COLUMBIA MEDICAL CENTER LTD
Active
Other names
Medical Associates of Highland
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADDAH AHDAB MD (OWNER)
(219) 937-2511
Entity
Organization
Contact information
Practice address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Mailing address
9696 GORDON DR, HIGHLAND, IN 46322-2909
(219) 937-2511
(219) 937-2522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114330A
—
IN
Enumeration date
05/24/2006
Last updated
12/13/2012
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