Professional Associates | |
708 Jefferson Ave La Porte IN 46350-3349 | |
(219) 324-5335 | |
(219) 324-5335 |
Full Name | Professional Associates |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 708 Jefferson Ave, La Porte, Indiana |
Authorized Official Name and Position | Sajja L Prasad Babu (OWNER) |
Authorized Official Contact | 2193245335 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Associates 708 Jefferson Ave La Porte IN 46350-3349 Ph: (219) 324-5335 | Professional Associates 708 Jefferson Ave La Porte IN 46350-3349 Ph: (219) 324-5335 |
NPI Number | 1518970672 |
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Provider Enumeration Date | 08/13/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518970672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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