Organization
NEPHROLOGY SPECIALISTS, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIED ABDULLAH MD (PARTNER / TREASURER)
(219) 931-5227
Entity
Organization
Contact information
Practice address
801 MACARTHUR BLVD, STE 400A, MUNSTER, IN 46321-2923
(219) 931-5227
(219) 932-8455
Mailing address
10010 CALUMET AVE, MUNSTER, IN 46321-4055
(219) 924-3450
(219) 924-1640
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212050
—
IN
Enumeration date
12/29/2005
Last updated
04/13/2017
Update your record
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