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Individual

RAMIN GHAZIZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5818 COLUMBIA AVE, HAMMOND, IN 46320-2607
(219) 237-5160
(219) 321-1935
Mailing address
3950 N LAKE SHORE DR APT 1421, CHICAGO, IL 60613-3475
(312) 330-4574

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
016.005783
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
07001475A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016005783
IL
Enumeration date
06/22/2015
Last updated
10/17/2025
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