Apollo Medical Group of Lake George LLC
Organization Active NPI Anesthesiology Physician · Fremont, IN
NPI 1467067579 · NPPES record last updated Sep 15, 2020
Key facts
- NPI
- 1467067579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- APOLLO MEDICAL GROUP OF LAKE GEORGE LLC
- Practice address
- 6245 N Old 27
Fremont, IN 46737-8711 - Phone
- (517) 462-8283
- NPI assigned
- Sep 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Ayman Elfar, MD
- Title
- Member/Manager
- Phone
- (941) 360-1566
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
6245 N Old 27
Fremont, IN 46737-8711
Mailing address
PO Box 3885
Springfield, IL 62708-3885
Phone (941) 360-1566
Other providers in Fremont, IN
- Across the Spectrum LLC
- Greg Curtis Barry
- Emma Claire Bobay
- William Edward Bopp
- Jennifer Bouchard
- Christopher James Bretz
All providers in Fremont, IN · Anesthesiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.