Individual
DR. RAOAA BENKHADRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8840 CALUMET AVE STE 203, MUNSTER, IN 46321-2546
(219) 595-0535
(219) 595-5319
Mailing address
8840 CALUMET AVE STE 203, MUNSTER, IN 46321-2546
(219) 595-0535
(219) 595-5319
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01077720A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007611
—
IN
05
—
3087003
—
IN
Enumeration date
06/11/2012
Last updated
12/12/2024
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