Ms Aditi Bawa, MD | |
2500 N Detroit St, Lagrange, IN 46761-1158 | |
(260) 463-2133 | |
(260) 463-3775 |
Full Name | Ms Aditi Bawa |
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Gender | Female |
Speciality | Internal Medicine |
Location | 2500 N Detroit St, Lagrange, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184240269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01090160A (Indiana) | Primary |
Entity Name | Northeast Internal Medicine Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174518500 PECOS PAC ID: 7113830688 Enrollment ID: O20031111000068 |
Mailing Address | Practice Location Address |
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Ms Aditi Bawa, MD Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133 | Ms Aditi Bawa, MD 2500 N Detroit St, Lagrange, IN 46761-1158 Ph: (260) 463-2133 |
Vijay G.t. Kamineni, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Kamran Mushtaq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Ahad Ayaz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Dr. Shashank Nmi Kashyap, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Isaac Gerardo Leon-acuna, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Rishabh Gupta, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |