Provider Demographics
NPI:1750694204
Name:HORIZON MEDICAL, LLC
Entity type:Organization
Organization Name:HORIZON MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACP
Authorized Official - Phone:219-836-1096
Mailing Address - Street 1:370 E 84TH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6643
Mailing Address - Country:US
Mailing Address - Phone:219-836-1096
Mailing Address - Fax:219-836-1786
Practice Address - Street 1:370 E 84TH DR STE 200
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6643
Practice Address - Country:US
Practice Address - Phone:219-836-1096
Practice Address - Fax:219-836-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty