Tarek Kudaimi MD, LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

01044239 Issued in IN

Legal business name

TAREK KUDAIMI MD, LLC

Practice address

801 Macarthur Blvd
Suite 305
Munster, IN 46321-2915

Phone

(219) 836-1310

Fax

(219) 836-0617

NPI assigned

Jan 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tarek Kudaimi, MD

Title

Owner Manager

Phone

(219) 836-1310

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• TAREK KUDAIMI MD Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1912237017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD",
            "address_2": "SUITE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212915",
            "telephone_number": "219-836-1310",
            "fax_number": "219-836-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD",
            "address_2": "SUITE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212915",
            "telephone_number": "219-836-1310",
            "fax_number": "219-836-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAREK KUDAIMI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "KUDAIMI",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "219-836-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IN",
            "license": "01044239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ILLINOIS",
            "identifier": "90000885",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200191040B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3200450",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110182794",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000095728",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "237151",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAREK KUDAIMI MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John M Szymczak, MD
• Aleksandar Talevski, NP
• Anjanipriya Tallamraju, M.D.
• Alan Tam, PHARMD
• Dana Rose Tameling, PT, NCS
• Megan Elizabeth Tasher, DPT
• Alyanna Taylor
• Mariana Taylor, FNP-C
• Monica Ashley Teller, COTA/L
• Daria B Terrell, MD

• Rheumatology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Rheumatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.