Individual
DR. TAREK KUDAIMI
Active
Individual
DR. TAREK KUDAIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01044239
IN
207RR0500X
Rheumatology Physician
Primary
01044239
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095728
ANTHEM
IN
01
—
110182794
RAILROAD MEDICARE
IN
05
—
200191040B
—
IN
01
—
3200450
UNITED HEALTH CARE
IN
01
—
5860647
AETNA
IN
01
—
90000885
BCBS IL
IL
Enumeration date
04/13/2006
Last updated
02/02/2009
Update your record
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