Organization
NEUROLOGICAL & SPINAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M HYTHAM RIFAI MD (PRESIDENT)
(219) 756-2900
Entity
Organization
Contact information
Practice address
200 E 89TH AVE, SUITE 3A, MERRILLVILLE, IN 46410-7318
(219) 756-2900
(219) 756-2910
Mailing address
200 E 89TH AVE, SUITE 3A, MERRILLVILLE, IN 46410-7318
(219) 756-2900
(219) 756-2910
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215300
—
IN
Enumeration date
06/11/2006
Last updated
09/03/2010
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