Individual
SAMMI M DALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1507 WABASH ST, MICHIGAN CITY, IN 46360-4300
(219) 878-8200
(219) 878-8331
Mailing address
2022 KELLE DR, CHESTERTON, IN 46304-8708
(219) 364-4004
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01057434A
IN
207RC0000X
Cardiovascular Disease Physician
01057434A
IN
207RI0011X
Interventional Cardiology Physician
01057434A
IN
207RI0011X
Interventional Cardiology Physician
Primary
036119125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000560154
ANTHEM
IN
01
—
11202879
CAQH NUMBER
IN
05
—
200439020
—
IN
01
—
P00605405
MEDICARE RR
—
Enumeration date
03/17/2006
Last updated
01/21/2025
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