Organization
AMERICAN FAMILY MEDICAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED M KRAD M.D. (OWNER)
(219) 923-9200
Entity
Organization
Contact information
Practice address
315 W 35TH AVE, GRIFFITH, IN 46319-1003
(219) 923-9200
(219) 923-9203
Mailing address
315 W 35TH AVE, GRIFFITH, IN 46319-1003
(219) 923-9200
(219) 923-9203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029360
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215510
—
IN
Enumeration date
03/11/2008
Last updated
03/11/2008
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