Organization
ORTHOSPINE MONITORING 2 LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZESHAN HYDER DO (OWNER)
(630) 803-3298
Entity
Organization
Contact information
Practice address
1448 PARK WEST CIR, MUNSTER, IN 46321-3976
(630) 803-3298
Mailing address
1448 PARK WEST CIR, MUNSTER, IN 46321-3976
(630) 803-3298
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02003792A
STATE OF INDIANA MEDICAL LICENSE
IN
01
—
1124263991
PERSONAL NPI
IN
Enumeration date
03/14/2022
Last updated
03/14/2022
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