Organization
MUHAMMAD M. KUDAIMI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD M KUDAIMI M.D. (OWNER/SOLE PROPRIETOR)
(219) 662-3931
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 303, MUNSTER, IN 46321-2915
(219) 662-3931
(219) 661-9906
Mailing address
801 MACARTHUR BLVD, SUITE 303, MUNSTER, IN 46321-2915
(219) 662-3931
(219) 661-9906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01036331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095538
BCBS IN
IN
01
—
036062243
MEDICAID IL
IL
01
—
10021034
MEDICARE RAILROAD
IN
05
—
100215010A
—
IN
01
—
7285621004
CIGNA
—
01
—
90000937
BCBS IL
IL
Enumeration date
06/12/2008
Last updated
06/12/2008
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