| NPI | 1790920452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJWALA S PURANIK Administrator 219-476-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2021-02-11 |