Individual
NADIM HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 365-1177
(219) 703-6662
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01072325A
IN
207P00000X
Emergency Medicine Physician
036128550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201186580
—
IN
Enumeration date
06/27/2007
Last updated
09/30/2024
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