| Chhabra Medical Corporation Pc | |
|
6375 Us Highway 6 Portage IN 46368-5111 | |
| (219) 762-3196 | |
| (219) 763-6438 |
| Full Name | Chhabra Medical Corporation Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6375 Us Highway 6, Portage, Indiana |
| Authorized Official Name and Position | Bhupindar Chhabra (PRESIDENT) |
| Authorized Official Contact | 2197623196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chhabra Medical Corporation Pc 6375 Us Highway 6 Portage IN 46368-5111 Ph: (219) 762-3196 | Chhabra Medical Corporation Pc 6375 Us Highway 6 Portage IN 46368-5111 Ph: (219) 762-3196 |
| NPI Number | 1518960988 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 8729045786 |
|---|---|
| Medicare Enrollment ID | O20041213000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518960988 | NPI | - | NPPES |
| 200140300A | Medicaid | IN | |
| 300024894 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50003261A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Manjeet Geeta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811949035 PECOS PAC ID: 5890717011 Enrollment ID: I20060705000142 |
| Provider Name | Debra L Drescher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407939895 PECOS PAC ID: 1355408709 Enrollment ID: I20090330000391 |
| Provider Name | Suzanne Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679746044 PECOS PAC ID: 5193854107 Enrollment ID: I20100601000827 |
| Provider Name | Katrina M Kozub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508166547 PECOS PAC ID: 3971771130 Enrollment ID: I20110714000521 |
| Provider Name | Samantha Wojcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225481013 PECOS PAC ID: 6608157920 Enrollment ID: I20161228002334 |
| Provider Name | Laura Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235634221 PECOS PAC ID: 1153670591 Enrollment ID: I20180820000193 |
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