Kudaimi, Tarek

Kudaimi, Tarek is an sole proprietor health care provider with primary practice located at 801 Macarthur Blvd Suite 305, Munster IN 46321-2915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kudaimi, Tarek can be contacted via phone (219) 836-1310.

Contact Information

Primary practice address
801 Macarthur Blvd Suite 305 Munster IN 46321-2915
Phone: (219) 836-1310
Fax: (219) 836-0617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01044239 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044239 Indiana

Profile Details

NPI number 1689638033
LBN Legal business name Kudaimi, Tarek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Feb 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689638033 NPPES
Indiana Other 000000095728 ANTHEM
Indiana Other 110182794 ANTHEM
Indiana MEDICAID 200191040B ANTHEM
Indiana Other 3200450 ANTHEM
Indiana Other 5860647 ANTHEM
Indiana Other 90000885 ANTHEM

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