Individual
ABDULKADER M KULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(219) 738-5500
Mailing address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 326-1633
(708) 326-1672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01056404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050090422
RR MCARE
IN
05
—
100440660
—
IN
Enumeration date
05/24/2006
Last updated
04/04/2018
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