Individual
DR. MUHAMMAD M KUDAIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12750 SAINT FRANCIS DR STE 410, CROWN POINT, IN 46307-0264
(219) 769-8340
(219) 769-8341
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01036331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095538
ANTHEM
IN
01
—
010021034
MEDICARE RAILROAD
IN
01
—
036062243
MEDICAID IL
IL
05
—
100215010A
—
IN
01
—
7285621004
CIGNA
—
01
—
90000937
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/14/2006
Last updated
02/10/2025
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