MARYAM JAMEELAH ADISA
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1134869522- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 751 E 81ST AVE, MERRILLVILLE, IN, 464105538
- Phone
- (219) 791-9389
Specialties & Taxonomies
Family Medicine
Primary License: IN #02008985A