Basic Information
| Provider Information | |||||||||
| NPI: | 1104932680 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALSAKAJI | ||||||||
| FirstName: | ZUHAIR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8558 BROADWAY | ||||||||
| Address2: | |||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464107032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2193927084 | ||||||||
| FaxNumber: | 2197036854 | ||||||||
| Practice Location | |||||||||
| Address1: | 7863 BROADWAY | ||||||||
| Address2: | SUITE 140 | ||||||||
| City: | MERRILLVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 464105553 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2197951660 | ||||||||
| FaxNumber: | 2197951630 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2006 | ||||||||
| LastUpdateDate: | 03/22/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 01046051A | IN | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 000000338446 | 01 | ANTHEM | OTHER | 036094958 | 05 | IL | MEDICAID | 200207090 | 05 | IN | MEDICAID | 90001185 | 01 | BLUE CROSS OF ILLINOIS | OTHER | P01307639 | 01 | IN | MEDICARE RR PTAN | OTHER |