Atimanaparampil N Damodaran, MD | |
187 Wexford Rd, Valparaiso, IN 46385-8038 | |
(574) 806-4938 | |
Not Available |
Full Name | Atimanaparampil N Damodaran |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 187 Wexford Rd, Valparaiso, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255394805 | NPI | - | NPPES |
1255394805 | Other | IN | NPI NUMBER |
000000672956 | Other | IN | ANTHEMPROVIDER NUMBER |
9226652 | Other | CIGNA ID NUMBER | |
M400023747 | Other | IN | MEDICARE PTAN NUMBER |
100225120 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01028450A (Indiana) | Primary |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366768160 PECOS PAC ID: 9234041948 Enrollment ID: O20090318000016 |
Entity Name | Smart Physician Systems Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023550183 PECOS PAC ID: 3678853645 Enrollment ID: O20161208001437 |
Mailing Address | Practice Location Address |
---|---|
Atimanaparampil N Damodaran, MD 187 Wexford Rd, Valparaiso, IN 46385-8038 Ph: (574) 806-4938 | Atimanaparampil N Damodaran, MD 187 Wexford Rd, Valparaiso, IN 46385-8038 Ph: (574) 806-4938 |
Dr. Mazen Zaitoon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 East United States 6 Frontage, Valparaiso, IN 46383 Phone: 219-983-8300 | |
Douglas Adolph Mazurek, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Glendale Blvd, Suite 103, Valparaiso, IN 46383 Phone: 219-464-9054 Fax: 219-465-1749 | |
Michael Christopher Hansen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-464-9054 Fax: 219-465-1749 | |
John Dougherty, Internal Medicine Medicare: Medicare Enrolled Practice Location: 56 Willow St, Valparaiso, IN 46383 Phone: 219-309-7254 | |
Dr. Akshay R. Trivedi, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383 Phone: 219-464-2285 | |
George E Sloan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Roosevelt Rd, Valparaiso, IN 46383 Phone: 219-464-1620 Fax: 219-477-4565 | |
Dr. Jay Shah, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 Phone: 219-983-6300 Fax: 219-263-7620 |