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Organization

MAHER AJAM, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAHER AJAM M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization

Contact information

Practice address
200 E 89TH AVE, MERRILLVILLE, IN 46410-7318
(219) 736-8006
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 863-2022

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100215140
IN
Enumeration date
10/24/2006
Last updated
10/08/2008
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