| NPI | 1407941115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHA KORA Office Manager 219-874-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 213E00000X Podiatrist | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-06-03 |