Ajam, Tarek

Ajam, Tarek is an individual health care provider with primary practice located at 1500 S Lake Park Ave Ste 110 , Hobart IN 46342-6638. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Ajam, Tarek can be contacted via phone (219) 947-6017.

Contact Information

Primary practice address
1500 S Lake Park Ave Ste 110 Hobart IN 46342-6638
Phone: (219) 947-6017
Fax: (219) 947-6018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6867620 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 68676-20 Wisconsin
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 01089618A Indiana

Profile Details

NPI number 1588059356
LBN Legal business name Ajam, Tarek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Feb 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588059356 NPPES
Indiana MEDICAID 300073465

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