MEDICARE: DR. NADEEM WAHEED NAJAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	35.138441	OH
2	207RN0300X	Nephrology Physician	01080760A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	628850019	OTHER	IN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	46681-20	OTHER	WI	WISCONSIN STATE LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982669495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADEEM WAHEED NAJAM MD

Provider Business Mailing Address
First Line	:	120 W 22ND ST STE 200
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1563
Country	:	US
Telephone Number	:	630-573-5000
Fax Number	:	630-491-5459

Provider Business Practice Location Address
First Line	:	1420 N SENATE AVE STE A
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2211
Country	:	US
Telephone Number	:	317-634-0920
Fax Number	:	317-634-0921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	12/02/2022

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