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
Fax: (765) 216-6774
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932220035 NPPES
Indiana MEDICAID 200980090

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