Individual
MOHAMMAD TINAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MACARTHUR BLVD, SUITE 400 A, MUNSTER, IN 46321-2915
(219) 931-5227
(219) 932-8455
Mailing address
55 E 86TH AVE, MERRILLVILLE, IN 46410-6382
(219) 769-1670
(219) 738-6714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071538
IN
207RN0300X
Nephrology Physician
Primary
4301056707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201090420
—
IN
05
—
4257290
—
MI
Enumeration date
09/06/2006
Last updated
02/14/2014
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