1124212451 NPI number — DR. ABEL E DAFIAGHOR DPT

Table of content: DR. ABEL E DAFIAGHOR DPT (NPI 1124212451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124212451 NPI number — DR. ABEL E DAFIAGHOR DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAFIAGHOR
Provider First Name:
ABEL
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1124212451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/29/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4950 BROADWAY
Provider Second Line Business Mailing Address:
STE G
Provider Business Mailing Address City Name:
GARY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46408-4654
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
219-712-9566
Provider Business Mailing Address Fax Number:
219-884-3434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4950 BROADWAY
Provider Second Line Business Practice Location Address:
STE G
Provider Business Practice Location Address City Name:
GARY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46408-4654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-712-9566
Provider Business Practice Location Address Fax Number:
219-884-3434
Provider Enumeration Date:
08/29/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  05002890A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)