Sujittra Niyakorn, MD | |
4022 Hohman Ave, Hammond, IN 46327-1239 | |
(219) 937-3300 | |
(219) 931-0299 |
Full Name | Sujittra Niyakorn |
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Gender | Female |
Speciality | Family Medicine |
Location | 4022 Hohman Ave, Hammond, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306067392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6544 (Kansas) | Secondary |
207Q00000X | Family Medicine | 01067615 (Indiana) | Primary |
207Q00000X | Family Medicine | 036-132572 (Illinois) | Secondary |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031201000049 |
Mailing Address | Practice Location Address |
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Sujittra Niyakorn, MD 1255 S Michigan Ave Apt 3006, Chicago, IL 60605-3317 Ph: (312) 330-6770 | Sujittra Niyakorn, MD 4022 Hohman Ave, Hammond, IN 46327-1239 Ph: (219) 937-3300 |
Dr. Krishna Pahuja, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4020 Calumet Ave, Hammond, IN 46320 Phone: 219-933-4889 Fax: 219-933-3153 | |
Rene Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 559 State St, Hammond, IN 46320 Phone: 219-937-3300 Fax: 219-803-7252 | |
John George, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5530 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2291 | |
Jeannie W Rhodes, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5530 Hohman Ave, Hammond, IN 46320 Phone: 219-933-2291 Fax: 219-933-2295 | |
Dr. Leslie James Allison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6920 Indianapolis Blvd, Hammond, IN 46324 Phone: 219-763-8112 Fax: 219-764-3251 | |
Kwame G. Foucher, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 559 State St, Hammond, IN 46320 Phone: 219-937-3300 Fax: 219-803-7252 |