9128 Columbia Corporation

NPI #1528137205 in Munster, Indiana

Provider Information

NPI Number: 1528137205
Entity Type: Organization
Organization Name: 9128 Columbia Corporation
Primary Specialty: Pediatrics
Enumeration Date: Nov 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9128 COLUMBIA CORPORATION
Address 2: 9128 COLUMBIA AVENUE
City: Munster
State: Indiana
ZIP Code: 46321
Phone: (219) 836-2730

Authorized Official

Name: AZRA S SHERIFF, MD
Title: PRESIDENT
Phone: (219) 836-2730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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