MOHAMMED MOHSIN KHADIR (NPI# 1679862296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679862296 |
| Entity Type | Individual |
| Full Name | MOHAMMED MOHSIN KHADIR |
| Credential | M.D. |
| Practice Address |
901 Macarthur Blvd Munster IN 46321-2901 |
| Mailing Address |
10010 Calumet Ave Munster IN 46321-4055 |
| Practice Telephone | 2198361600 |
| Mailing Telephone | (219) 924-3450 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
01078600A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
336101135 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
901 MACARTHUR BLVD |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273077 | Matthew Fitzpatrick | Radiology | 901 Macarthur Blvd, Radiology Department, Munster, IN 46321-2901 | 2005-08-23 |
| 1033710561 | Jonathan Chua | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-11-02 |
| 1649879842 | John Hurley Jr. | Nurse Anesthetist, Certified Registered | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-10-20 |
| 1942812391 | Cathrine Roels | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-18 |
| 1396355988 | Nicole Kaminsky | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-08-07 |
| 1992314819 | Jennifer Biank | Registered Nurse | 901 Macarthur Blvd, Munster, IN 46321-2959 | 2020-07-27 |
| 1598374704 | Amber Nicole Hudson | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-24 |
| 1700495942 | Alexa Catherine Klimek | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1437768611 | Hailey Corrinne Estes | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-23 |
| 1154939007 | Betsy Abraham | Pharmacist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588855084 | Jay U Patel Md, PC | Radiology | 8242 Calumet Ave, Suite 2-a, Munster, IN 46321-1758 | 2007-08-08 |
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| 1669982492 | Us Access Care of Indianapolis, LLC | Radiology | 201 North Illinois St, 16th Floor - South Tower, Indianapolis, IN 46204-4618 | 2017-10-06 |
| 1487038360 | Beacon Medical Group, Inc. | Radiology | 233 Florence Ave, Granger, IN 46530-8048 | 2015-07-10 |
| 1396075982 | Ir Halum, LLC | Radiology | 5953 Calais Ct, Indianapolis, IN 46220-6004 | 2010-01-05 |
| 1952307480 | Joseph W Eke Jr. | Radiology | 711 S East St, Indianapolis, IN 46225-1317 | 2005-06-21 |
| 1053922849 | Ultrasonic Medical Specialists LLC | Radiology | 365 Conestoga Dr, Chesterton, IN 46304-1559 | 2020-08-13 |
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1487176004 | Modern Vascular and Vein Center LLC | Radiology | 951 Transport Dr, Valparaiso, IN 46383-8434 | 2017-07-14 |
| 1154856789 | Xrc Clinical Radiology, LLC | Radiology | 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2017-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.