Katherine Tian, MD | |
211 N Eddy St, South Bend, IN 46617-3096 | |
(574) 251-2100 | |
Not Available |
Full Name | Katherine Tian |
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Gender | Female |
Speciality | Internal Medicine |
Location | 211 N Eddy St, South Bend, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144888017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 125074042 (Illinois) | Secondary |
207R00000X | Internal Medicine | 01087789A (Indiana) | Primary |
Entity Name | The South Bend Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439 |
Mailing Address | Practice Location Address |
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Katherine Tian, MD 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 251-2100 | Katherine Tian, MD 211 N Eddy St, South Bend, IN 46617-3096 Ph: (574) 251-2100 |
Mayank Kumar Mittal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Dr. Steven P. Crowell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 | |
Muhammad Shakil Aslam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601 Phone: 574-647-8120 Fax: 574-647-8111 | |
Monika Niemiec, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601 Phone: 574-647-3050 Fax: 574-647-1094 | |
Dr. Travis Weaver, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1815 E Ireland Rd, South Bend, IN 46614 Phone: 574-647-1700 Fax: 574-647-7572 | |
Dr. Thomas P Barbour, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9340 Fax: 574-239-1474 | |
Dr. Ahmed A Abdel-latief, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-239-1433 Fax: 574-239-1438 |