Sampanta Boonjarern, MD | |
297 Franciscan Dr, Crown Point, IN 46307-4858 | |
(219) 622-1718 | |
Not Available |
Full Name | Sampanta Boonjarern |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 297 Franciscan Dr, Crown Point, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073514642 | NPI | - | NPPES |
000000095595 | Other | IN | ANTHEM BCBS NUMBER |
100168430A | Medicaid | IN | |
100082060 | Medicaid | IN | |
090001077 | Other | IL | IL BCBS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 01027321A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Sampanta Boonjarern, MD 855 Madison St, Oak Park, IL 60302-4420 Ph: (708) 492-4531 | Sampanta Boonjarern, MD 297 Franciscan Dr, Crown Point, IN 46307-4858 Ph: (219) 622-1718 |
Mr. Peter K Tothy, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 342 E 109th Ave, Crown Point, IN 46307 Phone: 219-310-2550 Fax: 219-310-2565 | |
Dr. Rani John Puthenveetil, M.D Nephrology Medicare: Not Enrolled in Medicare Practice Location: 9330 Broadway, Crown Point, IN 46307 Phone: 219-662-5000 | |
Boris Sagalovsky, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr Ste 320, Crown Point, IN 46307 Phone: 219-662-0077 Fax: 219-662-9496 | |
Mohamed Farhat, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1205 S Main St, Suite 301, Crown Point, IN 46307 Phone: 219-661-1640 Fax: 219-661-8066 | |
Dr. Arnolfo B Elman, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1201 S Main St, Crown Point, IN 46307 Phone: 219-738-2100 Fax: 219-681-6867 | |
Arnold Michael Kemp, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 12750 St Francis Dr, Crown Point, IN 46307 Phone: 219-757-6121 Fax: 219-681-6897 |