Dr Shaun Sadruddin Mehdi, DO | |
6200 Central Ave, Portage, IN 46368-3702 | |
(219) 762-1040 | |
(219) 762-1041 |
Full Name | Dr Shaun Sadruddin Mehdi |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 7 Years |
Location | 6200 Central Ave, Portage, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851812572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125071534 (Illinois) | Secondary |
207R00000X | Internal Medicine | 02005976A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Health - Porter | Valparaiso, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter Physician Services Llc | 1850482407 | 91 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Mailing Address | Practice Location Address |
---|---|
Dr Shaun Sadruddin Mehdi, DO 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Dr Shaun Sadruddin Mehdi, DO 6200 Central Ave, Portage, IN 46368-3702 Ph: (219) 762-1040 |
Gaurav Kumar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3156 Willowcreek Rd, Portage, IN 46368 Phone: 219-762-9444 | |
Reuel Young Uy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-364-3616 Fax: 216-364-3610 | |
Abdul Kawamleh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6375 Us Highway 6 Ste B, Portage, IN 46368 Phone: 219-762-0400 Fax: 219-762-2460 | |
Kais Yehyawi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6375 Us Highway 6 Ste B, Portage, IN 46368 Phone: 219-762-0400 Fax: 219-762-2460 | |
Baqhar Mohideen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3630 Willowcreek Rd, Portage, IN 46368 Phone: 219-759-1441 Fax: 219-738-6714 | |
Nazal Obaid, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6375 Us Highway 6 Ste B, Portage, IN 46368 Phone: 219-762-0400 Fax: 219-762-2460 |