John Dougherty, | |
56 Willow St, Valparaiso, IN 46383-4223 | |
(219) 309-7254 | |
Not Available |
Full Name | John Dougherty |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 56 Willow St, 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 |
---|---|---|---|
1053722934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 01091630A (Indiana) | Primary |
Entity Name | Alaska Native Tribal Health Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
Mailing Address | Practice Location Address |
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John Dougherty, 56 Willow St, Valparaiso, IN 46383-4223 Ph: () - | John Dougherty, 56 Willow St, Valparaiso, IN 46383-4223 Ph: (219) 309-7254 |
Dr. Mazen Zaitoon, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 85 East United States 6 Frontage, Valparaiso, IN 46383 Phone: 219-983-8300 | |
Douglas Adolph Mazurek, M.D. Infectious Disease 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 Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6, Valparaiso, IN 46383 Phone: 219-464-9054 Fax: 219-465-1749 | |
Dr. Akshay R. Trivedi, D.O. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383 Phone: 219-464-2285 | |
George E Sloan, M.D. Infectious Disease 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 Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383 Phone: 219-983-6300 Fax: 219-263-7620 |