Individual
DR. MOHAMED MONZER KRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 35TH AVE, GRIFFITH, IN 46319-1003
(219) 923-9200
(219) 972-1557
Mailing address
315 W 35TH AVE, GRIFFITH, IN 46319-1003
(219) 923-9200
(219) 972-1557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029360
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215510
—
IN
01
—
1376585687
NPI NUMBER
IN
Enumeration date
06/12/2006
Last updated
07/08/2007
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