| NPI | 1558585034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITIN S SARDESAI President 219-836-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01029300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01059155A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-11-07 |