Optimum Primary Care LLC

NPI #1073748216 in Hammond, Indiana

Provider Information

NPI Number
1073748216
Entity Type
Organization
Organization Name
Optimum Primary Care LLC
Primary Specialty
Internal Medicine
Enumeration Date
May 18, 2009
Last Updated
Mar 28, 2011

Practice Location

Address
7330 INDIANAPOLIS BLVD
State
Indiana
ZIP Code
46324-2941
Phone
(219) 844-1444

Authorized Official

Name
KHALED A REHEEM-FARAG, MD
Title
PRESIDENT
Phone
(773) 841-9238

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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