| NPI | 1457610487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MADHUR KUMAR Administrator 219-703-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 176B00000X Midwife | |
| 208000000X Pediatrics | |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2024-05-31 |