Provider Demographics
NPI:1356332662
Name:TURKMANI, MOHAMED (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:
Last Name:TURKMANI
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 1:9660 WICKER AVENUE
Mailing Address - Street 2:
Mailing Address - City:ST JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-9487
Mailing Address - Country:US
Mailing Address - Phone:219-554-4081
Mailing Address - Fax:219-554-4088
Practice Address - Street 1:7217 INDIANAPOLIS BOULEVARD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-2213
Practice Address - Country:US
Practice Address - Phone:219-554-4081
Practice Address - Fax:219-554-4088
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038928207R00000X
IN01038928A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200007330Medicaid
IN200007330Medicaid
F00084Medicare UPIN
INF00084Medicare UPIN
IN142670GMedicare PIN