Provider Demographics
NPI:1346473345
Name:ADAB, KALID N (MD)
Entity Type:Individual
Prefix:DR
First Name:KALID
Middle Name:N
Last Name:ADAB
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:PO BOX 578220
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-7303
Mailing Address - Country:US
Mailing Address - Phone:773-658-0311
Mailing Address - Fax:
Practice Address - Street 1:1007 LINCOLNWAY STE B
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3201
Practice Address - Country:US
Practice Address - Phone:219-326-0943
Practice Address - Fax:219-402-1003
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-133230207RH0003X, 207RX0202X
IN01084179A207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology