Augustine I Izah, MD

NPI #1760476303 in Merrillville, Indiana

Provider Information

NPI Number: 1760476303
Entity Type: Individual
Name: Augustine I Izah, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 9, 2005
Last Updated: Nov 17, 2009

Practice Location

Address: 5857 BROADWAY
City: Merrillville
State: Indiana
ZIP Code: 46410-2666
Phone: (219) 884-4450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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