| NPI | 1437338829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDRA J SHAH Owner 219-884-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01032180A) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-12-18 |