Martini, Mohamad

Martini, Mohamad is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Martini, Mohamad can be contacted via phone (219) 865-0893.

Contact Information

Primary practice address
2150 Gettler St Ste 400 Dyer IN 46311-2385
Fax: (219) 865-3599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036084935 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01046113A Indiana

Profile Details

NPI number 1255370136
LBN Legal business name Martini, Mohamad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jun 14th, 2023 - about 3 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 1255370136 NPPES
Illinois MEDICAID 036084935
Illinois MEDICAID 200284020
Illinois Other 1124399605

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