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Individual

DO JI PAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5454 HOHMAN AVE, HAMMOND, IN 46320-1931
(219) 933-2006
(219) 738-6714
Mailing address
55 E 86TH AVE, PO BOX 10645, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
01027462
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100361380
IN
Enumeration date
10/19/2005
Last updated
01/25/2012
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