Male or Other

Mark H. Sahlol

Hospitalist Physician in Dyer, IN(View on Map)

Full Name

Mark Hazem Sahlol

NPI Number

1184930604

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/21/2010

Specialties

(Taxonomies)

Code

208M00000X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
Indiana
Oregon

License Number

036124446
01075458A
MD152202

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 781076
24 JOLIET ST

City

Detroit
Dyer

State

MI
IN

Postal Code

48278-1076
46311-1705

Country

US
US

Telephone Number

(317) 528-4800
(219) 865-2141

Identifiers

Identifier

201292580

Identifier State

IN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT
FHIR
FHIR
DIRECT

Endpoint

msahlol436651@Direct.Parkviewexchange.com
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
msahlol199657@Direct.FranciscanAlliance.org

Endpoint Description

Unknown
Unknown
Unknown
Unknown

Use

Unknown
Unknown
Unknown
Direct

Content Type

Unknown
Unknown
Unknown
Unknown

Affiliation

N
N
N
N

Endpoint Location

2200 Randallia DrFort Wayne, IN468054638US
2200 Randallia DrFort Wayne, IN468054638US
2200 Randallia DrFort Wayne, IN468054638US
24 Joliet StDyer, IN463111705US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/07/2023

Provider Address

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Jeannie Ur MD

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Ritesh Panwar MD

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Chang Yang M.D.

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Chao Gong M.D.

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Niket Shah D.O.

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Specialties: Hospitalist Physician (Primary)Internal Medicine Physician

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Zeenat Shameem DO

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Specialties: Hospitalist Physician (Primary)Internal Medicine Physician

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Satara Brown MD

Dyer, IN

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