Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0000000 | ZZ |
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME137298 | FL |
NPI | 1386032589 |
---|---|
Provider Name | Dr. Pouya Alijanipour |
First Address | Merrillville, IN 46410-7335 |
Second Address | Merrillville, IN 46410-7335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2014 |
Last Update Date | 18/01/2021 |