| Alzeidan Medical Corporation, Pc | |
|
7863 Broadway Merrillville IN 46410-5553 | |
| (219) 769-6639 | |
| (219) 769-0636 |
| Full Name | Alzeidan Medical Corporation, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7863 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Fadi Alzeidan (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2197696639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alzeidan Medical Corporation, Pc 55 E 86th Ave Po Box 10645 Merrillville IN 46410-6382 Ph: (219) 769-1670 | Alzeidan Medical Corporation, Pc 7863 Broadway Merrillville IN 46410-5553 Ph: (219) 769-6639 |
| NPI Number | 1821007543 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821007543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01053003 (Indiana) | Primary |
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