Most Relevant Information
Provider Data
| NPI Number: | 1003652074 |
| Provider Name: | ALBAB SYED UDDIN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2024 |
| Last Updated: | 07/08/2024 |
Provider Practice Location
9636 LUEBCKE LN
CROWN POINT
IN
463076262
Practice Location Phone/Fax
| Phone: | 2197415283 |
| Fax: |
Provider Mailing Location
9636 LUEBCKE LN
CROWN POINT
IN
463076262
Provider Mailing Phone/Fax
| Phone: | 2197415283 |
| Fax: |