Fadi I Alzeidan, MD | |
7863 Broadway, Merrillville, IN 46410-5553 | |
(219) 769-6639 | |
(219) 769-0636 |
Full Name | Fadi I Alzeidan |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 7863 Broadway, Merrillville, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245224724 | NPI | - | NPPES |
200300510 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01053003 (Indiana) | Primary |
Entity Name | The Methodist Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
Entity Name | Porter-starke Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098 |
Mailing Address | Practice Location Address |
---|---|
Fadi I Alzeidan, MD 55 E 86th Ave, Po Box 10645, Merrillville, IN 46410-6382 Ph: (219) 769-1670 | Fadi I Alzeidan, MD 7863 Broadway, Merrillville, IN 46410-5553 Ph: (219) 769-6639 |
Johann David Farley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Broadway Ste D2, Merrillville, IN 46410 Phone: 219-649-0044 Fax: 219-649-0055 | |
Dr. Brian H Weiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 West 80th Ave., Ste A, Merrillville, IN 46410 Phone: 219-791-9785 Fax: 219-791-9787 | |
Dr. Oranu G Ibekie, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1574 E 85th Ave, Merrillville, IN 46410 Phone: 219-769-4400 Fax: 219-795-1419 | |
Dr. Syed S Kazmi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 616 W 81st Ave, Merrillville, IN 46410 Phone: 312-421-1016 | |
Jessica Jean Glinski, DNP, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 5043 E 81st Ave, Merrillville, IN 46410 Phone: 219-707-5276 | |
Lauren Dandurand, AGACNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E 89th Ave Ste 2a, Merrillville, IN 46410 Phone: 219-736-2800 |