Tarek Kudaimi Md, Llc, NPI 1912237017
Rheumatology Physician in Munster, IN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1912237017
NPI Entity Type Organization
Provider Name Tarek Kudaimi Md, Llc
Former Legal Business Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 801 Macarthur Blvd, Suite 305, Munster, IN, US
Provider Mailing Address 801 Macarthur Blvd, Suite 305, Munster, IN, US, 463212915
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Tarek Kudaimi
Official Position OWNER MANAGER
Phone 219-836-1310

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RR0500X

Taxonomy Name Rheumatology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 01044239
License State IN
Description An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Other Organization Name

TAREK KUDAIMI MD
Former Legal Business Name

Business Address

Tarek Kudaimi Md, Llc
801 Macarthur Blvd
Suite 305

Munster, IN, US

Phone: 219-836-1310
Fax: 219-836-0617

Mailing Address

Tarek Kudaimi Md, Llc
801 Macarthur Blvd
Suite 305
Munster, IN, US
ZIP 463212915
Phone: 219-836-1310
Fax: 219-836-0617

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
90000885 IL BLUE CROSS BLUE SHIELD ILLINOIS 01
200191040B IN MEDICAID 05
3200450 IN UNITED HEALTH CARE 01
110182794 IN RAILROAD MEDICARE 01
000000095728 IN ANTHEM 01
237151 IN WELLCARE 01

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DR. M.D. Rebecca E Minser

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DR. M.D. Dona M Uncheselu

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MD Amy K Sadler

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MD Kevin K Hart

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MD Megan C. Lemon

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Kelcie Marie Small

Individual

Developmental Therapist

6437 Rucker Rd Ste D

Indianapolis, IN

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