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Contact Information

MEHDI AKHAVAN HEIDARI, MD
801 MACARTHUR BLVD STE 305
MUNSTER, IN46321-2920
 Phone: 219-703-2401
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEHDI AKHAVAN HEIDARI · (Male)

NPI Number 1346414562
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2008
Last updated 11/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 140502
  • FL License # ME130433
  • IL License # 036116297
  • IN License # 01082460A
  • KY License # 50152
  • NV License # 17043
  • TN License # 55408
  • CA Medicaid 1982064754
  • NV Medicaid 1346414562
  • OH Medicaid 2839405
  • WV Medicaid 3810013319
Hospital affiliation(s)
  • COMMUNITY HOSPITAL - (Acute Care)
    901 MACARTHUR BLVD
    MUNSTER, IN 46321
  • ST CATHERINE HOSPITAL INC - (Acute Care)
    4321 FIR ST
    EAST CHICAGO, IN 46312
  • 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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