Individual
DR. MAHER AJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9229 TAFT ST, MERRILLVILLE, IN 46410-6911
(219) 769-5227
(219) 769-7355
Mailing address
801 MACARTHUR BLVD, SUITE 400A, MUNSTER, IN 46321-2915
(219) 931-5227
(219) 932-8455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01035956
IN
207RN0300X
Nephrology Physician
Primary
01035956A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215140
—
IN
Enumeration date
06/20/2005
Last updated
02/14/2014
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