| Crown Family Medicine, Llc | |
|
200 S West St Crown Point IN 46307-3908 | |
| (219) 662-7583 | |
| (219) 662-7378 |
| Full Name | Crown Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 S West St, Crown Point, Indiana |
| Authorized Official Name and Position | Kamartaj Saifullah Quadri (PRESIDENT) |
| Authorized Official Contact | 2196627583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown Family Medicine, Llc 200 South West Street Crown Point IN 46307-4848 Ph: (219) 662-7583 | Crown Family Medicine, Llc 200 S West St Crown Point IN 46307-3908 Ph: (219) 662-7583 |
| NPI Number | 1477600401 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 01/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477600401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01050515A (Indiana) | Primary |
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