Unknown Individual – Internal Medicine Physician, NPI 1669456158
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3535, Broadway, University Park, Glen Park, Gary, Lake County, Indiana, 46409, United States
GARY, IN 464091316
Phone: (219) 884-4900
Fax: (219) 980-7585
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46409)
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Provider's Procedures
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