Individual
DR. SAMER AJAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S LAKE PARK AVE, STE 110, HOBART, IN 46342-6638
(219) 947-6017
(219) 947-6018
Mailing address
405 WESSEX RD, VALPARAISO, IN 46385-7716
(219) 309-9353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01069863A
IN
207RC0000X
Cardiovascular Disease Physician
01069863A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01069863A
IN
Other
Enumeration date
06/23/2009
Last updated
06/07/2016
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