Dr Ibrahim Samir Zabaneh, MD | |
2150 Gettler St Ste 260, Dyer, IN 46311-2381 | |
(219) 864-2626 | |
(219) 864-2627 |
Full Name | Dr Ibrahim Samir Zabaneh |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2150 Gettler St Ste 260, Dyer, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821004359 | NPI | - | NPPES |
200200450 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 01048715A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Dr Ibrahim Samir Zabaneh, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Ibrahim Samir Zabaneh, MD 2150 Gettler St Ste 260, Dyer, IN 46311-2381 Ph: (219) 864-2626 |
Sameer Sharma, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 Calumet Ave, Dyer, IN 46311 Phone: 219-864-2086 | |
Anthony Nicholas Gentile, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1001 Main St, Suite 2e, Dyer, IN 46311 Phone: 219-865-9160 Fax: 219-865-9251 | |
Roman Puliaev, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 260, Dyer, IN 46311 Phone: 219-864-2626 Fax: 219-264-2627 | |
Jessica Hope Siegler, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2150 Gettler St Ste 260, Dyer, IN 46311 Phone: 219-864-2626 Fax: 219-864-2627 | |
Howard O Grundy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 24 Joliet St, Dyer, IN 46311 Phone: 219-864-2036 Fax: 219-864-2253 |