Individual
ASIM MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Mailing address
901 MACARTHUR BLVD, ATTN ANESTHESIA, MUNSTER, IN 46321-2901
(219) 836-7040
(219) 513-1127
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02001806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331850
ANTHEM BCBS
IN
05
—
200145950A
—
IN
01
—
5680656
AETNA
IN
01
—
8317811
CIGNA
IN
01
—
P00204933
MEDICARE RAILROAD
IN
Enumeration date
03/23/2007
Last updated
05/19/2010
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