SUHAIL H KHADRA (NPI# 1487603239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487603239 |
| Entity Type | Individual |
| Full Name | SUHAIL H KHADRA |
| Credential | MD |
| Practice Address |
10010 Donald Powers Dr Munster IN 46321 |
| Practice Telephone | 2199344210 |
| Practice Fax Number | 2199344288 |
| Mailing Telephone | 2199344210 |
| Mailing Fax Number | 2199344288 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193400000X | Single Specialty | 01075981A | IN | Group |
| N | 207R00000X | Internal Medicine | 036066290 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036066290 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
10010 DONALD POWERS DR |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417903600 | Kathleen Lynn Cole | Nurse Practitioner | 10010 Donald Powers Dr, Munster, IN 46321 | 2006-05-26 |
| 1689620874 | Donna Yvonne Winterrowd | Nurse Practitioner | 10010 Donald Powers Dr, Munster, IN 46321 | 2006-05-26 |
| 1083668909 | Christine C Rohl | Nurse Practitioner | 10010 Donald Powers Dr, Munster, IN 46321 | 2006-05-22 |
| 1861446775 | Louanne Marley Lowrance | Nurse Practitioner | 10010 Donald Powers Dr, Munster, IN 46321 | 2006-05-22 |
| 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 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 193400000X |
| Grouping | Group |
| Classification | Single Specialty |
| A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518075597 | James A Hayes | Single Specialty | 1200 Chester Blvd, Richmond, IN 47374 | 2006-08-29 |
Please comment or provide details below to improve the information on SUHAIL H KHADRA.
| 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.