Michiana Hospitalist LLC

NPI #1104985464 in Granger, Indiana

Provider Information

NPI Number: 1104985464
Entity Type: Organization
Organization Name: Michiana Hospitalist LLC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 51265 AMESBURRY WAY
City: Granger
State: Indiana
ZIP Code: 46530-4828
Phone: (574) 243-4875

Authorized Official

Name: SHAMOON AHMED, M.D.
Title: MEDICAL DIRETOR
Phone: (574) 243-4875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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