Individual
NAZMUL HUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 S NAPPANEE ST, STE A, ELKHART, IN 46514-2066
(574) 296-3338
(574) 296-3332
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01073182A
IN
207RC0000X
Cardiovascular Disease Physician
MD429541
PA
207RI0011X
Interventional Cardiology Physician
Primary
01073182A
IN
207RI0011X
Interventional Cardiology Physician
MD429541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000842391
BCBS ELKHART CARDIOLOGY
IN
05
—
201197470
—
IN
01
—
P01317337
RR MEDICARE
IN
Enumeration date
07/18/2007
Last updated
11/19/2024
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