Individual
FOUAD KUTUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8840 CALUMET AVE STE 206, MUNSTER, IN 46321-2546
(718) 710-8005
Mailing address
PO BOX 1103, CROWN POINT, IN 46308-1103
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01080676A
IN
207RN0300X
Nephrology Physician
036.140158
IL
208M00000X
Hospitalist Physician
036140158
IL
Other
Enumeration date
06/25/2013
Last updated
07/07/2020
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