| NPI | 1467851139 |
|---|---|
| Doing Business As | INDIANA EAR AND SINUS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | SHRIDHAR VENTRAPRAGADA Owner 219-836-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-01-20 |