Individual provider · NPI-1

Dr. Matthew A R Libiran, MD

Family Medicine · East Chicago, IN

NPI number1588656995
StatusActive
Last updated in NPPESNov 29, 2012

Details

NPI
1588656995
Entity type
Individual (NPI-1)
Name
Dr. Matthew A R Libiran
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 22, 2005
Last updated
Nov 29, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01059738AINYes

Practice location

100 West Chicago Avenue
Suite F
East Chicago, IN 46312-3260

Phone 219-397-0193 · Fax 219-397-0657

Mailing address

100 West Chicago Avenue
Suite F
East Chicago, IN 46312-3260

Phone 219-397-0193 · Fax 219-397-0657

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in East Chicago, IN