Mohyuddin, Faiqa
Mohyuddin, Faiqa is an individual health care provider with primary practice located at 6091 Broadway , Merrillville IN 46410-2619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mohyuddin, Faiqa can be contacted via phone (219) 763-8112.Contact Information
Primary practice address
6091 Broadway
Merrillville IN 46410-2619
Phone: (219) 763-8112
Fax: (219) 764-3251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036121290 | Illinois |
Profile Details
| NPI number | 1164661922 |
|---|---|
| LBN Legal business name | Mohyuddin, Faiqa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2009 |
| Last updated | Oct 4th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164661922 | NPPES |
| Indiana | Other | 01071717A | STATE LICENSE |
| Indiana | Other | 036121290 | STATE LICENSE |
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