Organization
AMERICAN MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDYARD U SMITH MD (PRESIDENT)
(219) 937-9653
Entity
Organization
Contact information
Practice address
9250 COLUMBIA AVE STE 1F, MUNSTER, IN 46321-3530
(219) 937-9653
(219) 937-2981
Mailing address
539 SAINT ANDREWS DR, SCHERERVILLE, IN 46375-2951
(773) 459-9661
(219) 937-2981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D1025134
CLIA
IN
05
—
200145800
—
IN
Enumeration date
09/06/2006
Last updated
03/04/2022
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