Dr Ramadevi Sankaran, MD | |
2490 Central Ave, Lake Station, IN 46405-2122 | |
(219) 763-8112 | |
(219) 962-1580 |
Full Name | Dr Ramadevi Sankaran |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2490 Central Ave, Lake Station, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790992782 | NPI | - | NPPES |
1790992782 | Medicaid | IA | |
I3290001 | Other | IA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01084672A (Indiana) | Primary |
Entity Name | Trinity Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
Mailing Address | Practice Location Address |
---|---|
Dr Ramadevi Sankaran, MD Po Box 1430, Portage, IN 46368-9230 Ph: (219) 763-8112 | Dr Ramadevi Sankaran, MD 2490 Central Ave, Lake Station, IN 46405-2122 Ph: (219) 763-8112 |
Saoussan Alfahel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-962-1808 | |
Shah Alam Chowdhury, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 219-763-8112 Fax: 219-764-5384 | |
Wanda Averhart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2490 Central Ave, Lake Station, IN 46405 Phone: 216-764-5399 |