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HONOR PHYSICIANS LLC NPI 1194288860


NPI Information

NPI: 1194288860
Provider Name: HONOR PHYSICIANS, LLC

Doing Business As: ADVANCED INTERNAL MEDICINE OF MICHIANA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2163219

Address:
3809 N MAIN ST STE 100
MISHAWAKA, IN
ZIP 46545
Phone: (574) 520-1700
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HONOR PHYSICIANS, LLC is a primary care clinic center in Mishawaka, IN. HONOR PHYSICIANS, LLC NPI is 1194288860. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Internal Medicine Of Michiana.

The provider's business location address is:

3809 N MAIN ST STE 100
MISHAWAKA, IN
ZIP 46545-109
Phone: (574) 520-1700
Fax: (833) 989-0916

The provider's authorized official is Dahan Al-fadhl .
The authorized official title is C.e.o. and has the following contact phone number (574) 274-9523.

The CLIA number assigned to this NPI record is 15D2163219 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/3/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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