Organization
LAKESHORE CARDIOVASCULAR INSTITUTE LLC
Active
Organization
LAKESHORE CARDIOVASCULAR INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMMI M DALI MD (PRESIDENT)
(219) 878-3217
Entity
Organization
Contact information
Practice address
8733 W 400 N, MICHIGAN CITY, IN 46360
(219) 879-0333
(219) 879-0325
Mailing address
8733 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 878-3217
(224) 633-1935
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200439020
—
IN
Enumeration date
12/27/2017
Last updated
05/06/2019
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