Individual
AMJAD ALKADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873
Mailing address
825 LINCOLNWAY, VALPARAISO, IN 46383-5803
(219) 464-4891
(219) 464-1873
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01052522A
IN
2085R0202X
Diagnostic Radiology Physician
036100656
IL
2085R0204X
Vascular & Interventional Radiology Physician
01052522A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036100656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200289000
—
IN
01
—
300120368
RR MEDICARE
IN
Enumeration date
03/29/2006
Last updated
06/16/2025
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