Organization
VEIN CENTER OF NORTHWEST INDIANA, LTD
Active
Organization
VEIN CENTER OF NORTHWEST INDIANA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD ALKADRI M.D. (SURGEON)
(219) 736-8118
Entity
Organization
Contact information
Practice address
1000 E 80TH PL, SUITE 308, MERRILLVILLE, IN 46410-5608
(219) 736-8118
Mailing address
1000 E 80TH PL, SUITE 308, MERRILLVILLE, IN 46410-5608
(219) 736-8118
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
01034936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062740A
—
IN
Enumeration date
05/21/2007
Last updated
10/23/2012
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