NPI 1073748216

Optimum Primary Care LLC

Organisation Internal Medicine Physician Hammond, IN

Practice location

Address: 7330 Indianapolis Blvd, Hammond, IN 46324-2941
Phone: (219) 844-1444
Mailing address: 11116 Saratoga Dr, Orland Park, IL 60467-8740

Authorised official

Name: Khaled a Reheem-Farag
Title: President
Phone: (773) 841-9238

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01059379A (IN)

Other Internal Medicine providers in Indiana →

Registry record

NPI: 1073748216
Entity type: Organization
NPI issued: 18 May 2009
Record last updated: 28 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.