Provider Demographics
NPI:1528098506
Name:MUHREZ, NIHAD (MD)
Entity type:Individual
Prefix:DR
First Name:NIHAD
Middle Name:
Last Name:MUHREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 E 90TH DR STE B
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8102
Mailing Address - Country:US
Mailing Address - Phone:219-736-1758
Mailing Address - Fax:219-736-1717
Practice Address - Street 1:270 E 90TH DR STE B
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8102
Practice Address - Country:US
Practice Address - Phone:219-736-1758
Practice Address - Fax:219-736-1717
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01045632207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200255900AMedicaid
IN144270Medicare PIN
ING82176Medicare UPIN