Kudaimi, Tarek
Kudaimi, Tarek is an sole proprietor health care provider with primary practice located at 801 Macarthur Blvd Suite 305, Munster IN 46321-2915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kudaimi, Tarek can be contacted via phone (219) 836-1310.Contact Information
Primary practice address
801 Macarthur Blvd Suite 305
Munster IN 46321-2915
Phone: (219) 836-1310
Fax: (219) 836-0617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 01044239 | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01044239 | Indiana |
Profile Details
| NPI number | 1689638033 |
|---|---|
| LBN Legal business name | Kudaimi, Tarek |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Feb 2nd, 2009 - about 15 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 | 1689638033 | NPPES |
| Indiana | Other | 000000095728 | ANTHEM |
| Indiana | Other | 110182794 | ANTHEM |
| Indiana | MEDICAID | 200191040B | ANTHEM |
| Indiana | Other | 3200450 | ANTHEM |
| Indiana | Other | 5860647 | ANTHEM |
| Indiana | Other | 90000885 | ANTHEM |
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