| NPI | 1437223633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINUS B GANDHI Manager 219-838-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036969A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01061275A) |
| 207R00000X Internal Medicine (Licence: IN 01057594A) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-12-03 |