Fardad Massoumi Bavil, MD

NPI #1013104546 in Munster, Indiana

Provider Information

NPI Number
1013104546
Entity Type
Individual
Name
Fardad Massoumi Bavil, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Sep 28, 2007
Last Updated
Jun 23, 2023

Practice Location

Address
7905 CALUMET AVE
State
Indiana
ZIP Code
46321-2549
Phone
(219) 836-3049

Specialties & Taxonomy Codes

Specialty
Family Medicine

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