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Individual

DR. OSSAMA HOSNEY ZORUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360
(219) 879-8511
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01045721A
IN
207R00000X
Internal Medicine Physician
036-092465
IL
208M00000X
Hospitalist Physician
Primary
01045721A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036092465
IL
05
200106980
IN
01
364252821
TAX ID
IL
Enumeration date
02/14/2006
Last updated
10/01/2019
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