MEDICARE: FARAH NAJAMUDDIN, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1023192440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARAH NAJAMUDDIN, M.D.

Provider Business Mailing Address
First Line	:	9201 CALUMET AVE
Second Line	:
City	:	MUNSTER
State	:	IN
Zip	:	46321-2807
Country	:	US
Telephone Number	:	219-836-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 W GLEN PARK AVE
Second Line	:
City	:	GRIFFITH
State	:	IN
Zip	:	46319-3703
Country	:	US
Telephone Number	:	219-838-3270
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FARAH NAJAMUDDIN
Credential	:	M.D.
Telephone Number	:	219-836-9021

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	08/22/2020

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