Individual
TAREK AJAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S LAKE PARK AVE STE 110, HOBART, IN 46342-6638
(219) 947-6017
(219) 947-6018
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6867620
WI
207RC0000X
Cardiovascular Disease Physician
68676-20
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01089618A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300073465
—
IN
Enumeration date
03/30/2015
Last updated
02/26/2024
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