| NPI | 1912237017 |
|---|---|
| Former Legal Business Name | TAREK KUDAIMI MD |
| Entity Type | Organization |
| Authorized Contact | TAREK KUDAIMI Owner Manager 219-836-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01044239) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |