Individual
HAKAM H SAFADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8909 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-0054
(219) 769-1793
Mailing address
8909 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-0054
(219) 769-1793
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01029166A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086614
ANTHEM/BCBS
IL
01
—
020024000
BLACK LUNG GROUP#
—
01
—
0591755
AETNA
—
05
—
100212570
—
IN
Enumeration date
05/31/2005
Last updated
10/27/2014
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