IndividualActive
Kongkiet Thaera, M.D.
NPI 1679537914 · Neonatal-Perinatal Medicine Physician · Munster, IN
Provider details
- NPI number
- 1679537914
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01029739A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
901 Macarthur Blvd
Neonatology Department
Munster, IN 46321-2901
Phone: (219) 836-1600
Approximate (ZIP-level) locationGet directions
Mailing address
9201 Calumet Ave
Munster, IN 46321-2807
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.