Uddin, Mohammad Nizam
Uddin, Mohammad Nizam is an individual health care provider with primary practice located at 5355 Commerce Dr , Crown Point IN 46307-5325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Uddin, Mohammad Nizam can be contacted via phone (219) 756-0600.Contact Information
Primary practice address
5355 Commerce Dr
Crown Point IN 46307-5325
Phone: (219) 756-0600
Fax: (219) 756-0608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01059460A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 228644-1 | New York |
Profile Details
| NPI number | 1407872443 |
|---|---|
| LBN Legal business name | Uddin, Mohammad Nizam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Feb 15th, 2011 - about 15 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 | 1407872443 | NPPES |
| Indiana | MEDICAID | 200197890A |
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