Kteleh, Tarek
Kteleh, Tarek is an individual health care provider with primary practice located at 3550 W Fox Ridge Ln , Muncie IN 47304-5205. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kteleh, Tarek can be contacted via phone (765) 717-5399.Contact Information
Primary practice address
3550 W Fox Ridge Ln
Muncie IN 47304-5205
Phone: (765) 717-5399
Fax: (765) 216-6774
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 2006018669 | Missouri |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 10801 | North Dakota |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01068046A | Indiana |
Profile Details
NPI number | 1932220035 |
---|---|
LBN Legal business name | Kteleh, Tarek |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Sep 10th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932220035 | NPPES |
Indiana | MEDICAID | 200980090 |
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