CHETAN PURANIK

LA PORTE, IN
NPI1760532741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
(Licence: IN  01063580A)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IN  01063580A)
207L00000X Anesthesiology
(Licence: IL  036112296)
Enumeration Date2007-01-11
Last Update Date2018-03-27
Business Address
CHETAN PURANIK MD
504 LEGACY PLZ W
LA PORTE, IN 46350-5254
Phone number: 219-326-7246
Mailing Address
CHETAN PURANIK MD
204 LEGACY PLZ W
LA PORTE, IN 46350-5285
Phone number: 219-326-7246