Organization
SPINE HYDER PC
Active
Organization
SPINE HYDER PC
Active
Other names
NWI Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ZESHAN M HYDER DO (AUTHHORIZED OFFICIAL)
(219) 797-7463
Entity
Organization
Contact information
Practice address
11055 BROADWAY STE A, CROWN POINT, IN 46307-7300
(219) 797-7463
(219) 310-8951
Mailing address
11055 BROADWAY STE A, CROWN POINT, IN 46307-7300
(219) 797-7463
(219) 310-8951
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/03/2019
Last updated
05/07/2021
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