| Dr Teofilo S Bautista, MD, PC | |
|
642 S Lake St, Gary, IN 46403-2967 | |
| (219) 938-4481 | |
| (219) 938-6480 |
| Full Name | Dr Teofilo S Bautista |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 642 S Lake St, Gary, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801894076 | NPI | - | NPPES |
| 100169010A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01032450 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Teofilo S Bautista, MD, PC 8135 Calumet Ave, Munster, IN 46321-1701 Ph: (219) 513-2000 | Dr Teofilo S Bautista, MD, PC 642 S Lake St, Gary, IN 46403-2967 Ph: (219) 938-4481 |
Janet Seabrook, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Bayne W Spotwood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Adeyemi Oluremi Oyegbade, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2269 W 25th Ave, Gary, IN 46404 Phone: 199-444-1872 Fax: 219-944-4186 | |
Geoffrey Okechukwu Onyeukwu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3814 Grant Street, Gary, IN 46408 Phone: 219-884-3447 Fax: 219-884-3512 | |
Hanifa Waarith, Family Medicine Medicare: Medicare Enrolled Practice Location: 1701 Broadway, Gary, IN 46407 Phone: 219-882-0980 | |
Melvin D Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1021 W 5th Ave, Gary, IN 46402 Phone: 219-880-1190 Fax: 219-880-0784 | |
Mr. Nathaniel T Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 W 5th Ave, Gary, IN 46404 Phone: 219-886-4788 Fax: 219-886-4106 |