Individual
MOHAMMAD WADUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 RICHARD RD STE 2, DYER, IN 46311-1994
(219) 322-1450
(219) 322-8260
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02008489A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
09/05/2025
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