Basic Information
| Provider Information | |||||||||
| NPI: | 1013189281 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SADAT | ||||||||
| FirstName: | KAMEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 781076 | ||||||||
| Address2: | |||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482781076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3175284800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3500 FRANCISCAN WAY STE 400 | ||||||||
| Address2: | |||||||||
| City: | MICHIGAN CITY | ||||||||
| State: | IN | ||||||||
| PostalCode: | 463600021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2198788200 | ||||||||
| FaxNumber: | 2198798331 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2008 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01079402A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 30987 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | Q2072 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RA0001X | 01079402A | IN | N | 207RC0000X | 01079402A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207UN0901X | 01079402A | IN | N | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology | 2085U0001X | 01079402A | IN | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound | 208M00000X | 036.124018 | IL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RI0011X | 01079402A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
No ID Information.