Individual
IBRAHIM GEORGE ZABANEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S LAKE PARK AVE, STE 500, HOBART, IN 46342-6636
(219) 942-7299
(219) 947-6624
Mailing address
1400 S LAKE PARK AVE, STE 500, HOBART, IN 46342-6636
(219) 942-7299
(219) 947-6624
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033620
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000078875
BLUE CROSS BLUE SHIELD
IN
01
—
080157210
RAILROAD MEDICARE
—
05
—
100208860A
—
IN
Enumeration date
08/17/2005
Last updated
05/14/2008
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