Healthcare Provider Details

I. General information

NPI: 1568284339
Provider Name (Legal Business Name): RHEUMATOLOGY TREATMENT CENTERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2024
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 E 90TH DR
MERRILLVILLE IN
46410-7160
US

IV. Provider business mailing address

118 E 90TH DR
MERRILLVILLE IN
46410-7160
US

V. Phone/Fax

Practice location:
  • Phone: 219-736-2922
  • Fax: 855-820-7118
Mailing address:
  • Phone: 219-736-2922
  • Fax: 855-820-7118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMAD MUHAMMAD SALAH
Title or Position: OWNER
Credential: DO
Phone: 219-736-2922