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AHMAD K EL SAMAD, DPM – NPI #1174559876
Surgery, Foot & Ankle

NPI Profile for Dr AHMAD K EL SAMAD in MERRILLVILLE, IN.

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Contact Information

AHMAD K EL SAMAD, DPM
9239 BROADWAY
MERRILLVILLE, IN  46410-7046
 Phone: 219-736-1010
 Fax: 219-736-1090
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
 

Podiatrist

 213E00000X 48 Podiatry
 

Primary Podiatric Medicine

 213EP1101X 48 Podiatry
 

Public Health

 213EP0504X 48 Podiatry
 

Surgery, Foot

 213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AHMAD K EL SAMAD · (Male)

NPI # 1174559876
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/24/2006
Last updated 11/06/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 07001024A
  • IN Medicaid 200-824830
  • IL Other 016-005273 MEDICAL LICENSE
  • IN Other 6157100001 DMERC
  • IN Other 07001024B INDIANA CSR
  • IN Other 07001024A MEDICAL LICENSE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
  • FRANCISCAN ST ANTHONY HEALTH - CROWN POINT - (Acute Care)
    1201 S MAIN ST
    CROWN POINT, IN 46307
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
  • ST CATHERINE HOSPITAL INC - (Acute Care)
    4321 FIR ST
    EAST CHICAGO, IN 46312
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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