Kupusamy Umapathy, MD | |
4802 Broadway, Gary, IN 46408-4509 | |
(219) 887-4950 | |
Not Available |
Full Name | Kupusamy Umapathy |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 4802 Broadway, Gary, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306842786 | NPI | - | NPPES |
100087450 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 01036576A (Indiana) | Primary |
Entity Name | The Methodist Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526 |
Entity Name | Edgewater Systems For Balanced Living Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405 |
Mailing Address | Practice Location Address |
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Kupusamy Umapathy, MD 9201 Calumet Ave, Munster, IN 46321-2807 Ph: (219) 836-2022 | Kupusamy Umapathy, MD 4802 Broadway, Gary, IN 46408-4509 Ph: (219) 887-4950 |
Dr. Olusegun Apata, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 650 Grant St Ste 7, Gary, IN 46404 Phone: 219-882-9900 | |
Raied Abdullah, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3229 Broadway, Suite 205, Gary, IN 46409 Phone: 219-887-4950 Fax: 219-887-4955 | |
Dr. Mark Alan Washington, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 600 Grant St, Gary, IN 46402 Phone: 121-988-6400 |