Individual
DR. MOHAMMAD NIZAM UDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5355 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 756-0600
(219) 756-0608
Mailing address
425 JOLIET ST., SUITE 400, DYER, IN 46311
(219) 227-3621
(219) 865-5401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01059460A
IN
207L00000X
Anesthesiology Physician
228644-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200197890A
—
IN
Enumeration date
07/14/2006
Last updated
02/15/2011
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