Individual
MR. ASAAD JANDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8840 CALUMET AVE STE 203, MUNSTER, IN 46321-2546
(219) 836-7723
(219) 836-7726
Mailing address
PO BOX 1103, CROWN POINT, IN 46308-1103
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01045439A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01045439A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338444
ANTHEM
IN
01
—
036093513
MEDICAID IL
IL
01
—
1500622
CIGNA
—
05
—
200164170
—
IN
01
—
90001173
BLUE CROSS BLUE SHIELD
IL
01
—
P00141901
MEDICARE RAILROAD
IN
Enumeration date
01/25/2006
Last updated
07/21/2022
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