| Medical Associates Of Highland | |
|
9696 Gordon Dr Highland IN 46322-2909 | |
| (219) 937-2511 | |
| (219) 937-2522 |
| Full Name | Medical Associates Of Highland |
|---|---|
| Speciality | Internal Medicine |
| Location | 9696 Gordon Dr, Highland, Indiana |
| Authorized Official Name and Position | Waddah Ahdab (OWNER) |
| Authorized Official Contact | 2199372511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Associates Of Highland 9696 Gordon Dr Highland IN 46322-2909 Ph: (219) 937-2511 | Medical Associates Of Highland 9696 Gordon Dr Highland IN 46322-2909 Ph: (219) 937-2511 |
| NPI Number | 1275588386 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 12/13/2012 |
| Medicare PECOS PAC ID | 7618957226 |
|---|---|
| Medicare Enrollment ID | O20040723000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275588386 | NPI | - | NPPES |
| 200114330A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Stuart Marshall Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790870483 PECOS PAC ID: 1456240092 Enrollment ID: I20040312000292 |
| Provider Name | Wassim Atassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871533927 PECOS PAC ID: 2668459355 Enrollment ID: I20040720001001 |
| Provider Name | Bruna C Arrunategui-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992979215 PECOS PAC ID: 9436217767 Enrollment ID: I20081015000316 |
| Provider Name | Waddah Ahdab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255388286 PECOS PAC ID: 6709866320 Enrollment ID: I20100909001183 |
| Provider Name | Dana Rifai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780972059 PECOS PAC ID: 1153542691 Enrollment ID: I20150820009979 |
| Provider Name | Karim Al Sabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609258458 PECOS PAC ID: 3870841307 Enrollment ID: I20180731002913 |
| Provider Name | Angela Lebeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144895418 PECOS PAC ID: 8123425865 Enrollment ID: I20210923001430 |
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