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1912998642
MATHEW JOSE KALLOOKULANGARA
SOUTH BEND, IN
NPI
1912998642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01059944A)
Enumeration Date
2005-11-02
Last Update Date
2021-03-31
Business Address
MATHEW JOSE KALLOOKULANGARA M.D.
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
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Mailing Address
MATHEW JOSE KALLOOKULANGARA M.D.
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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