Individual
ABDUL KAWAMLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6375 US HIGHWAY 6 STE B, PORTAGE, IN 46368-5218
(219) 762-0400
(219) 762-2460
Mailing address
6375 US HIGHWAY 6 STE B, PORTAGE, IN 46368-5218
(219) 762-0400
(219) 762-2460
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10152395A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180448
ANTHEM BC/BS
IN
05
—
200279070A
—
IN
05
—
200293540A
—
IN
01
—
60060435
RAILROAD MEDICARE
IN
01
—
9115389
ANTHEM BC/BS
IL
Enumeration date
06/01/2005
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us