Individual
MOHAMAD KASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
(219) 924-8179
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
(219) 924-8193
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01064684A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200448210
—
IN
Enumeration date
10/30/2007
Last updated
03/22/2021
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