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ABDUL KAWAMLEH, MD – NPI #1306848577
Cardiovascular Disease

NPI Profile for ABDUL KAWAMLEH in PORTAGE, IN.

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Contact Information

ABDUL KAWAMLEH, MD
6375 US HIGHWAY 6 STE B
PORTAGE, IN  46368-5218
 Phone: 219-762-0400
 Fax: 219-762-2460
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

 207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABDUL KAWAMLEH · (Male)

NPI Number 1306848577
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 08/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 10152395A
  • IN Medicaid 200279070A
  • IN Medicaid 200293540A
  • IL Other 9115389 ANTHEM BC/BS
  • IN Other 000000180448 ANTHEM BC/BS
  • IN Other 60060435 RAILROAD MEDICARE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
  • FRANCISCAN ST ANTHONY HEALTH - CROWN POINT - (Acute Care)
    1201 S MAIN ST
    CROWN POINT, IN 46307
  • METHODIST HOSPITALS INC - (Acute Care)
    600 GRANT ST
    GARY, IN 46402
  • ST MARY MEDICAL CENTER INC - (Acute Care)
    1500 S LAKE PARK AVE
    HOBART, IN 46342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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