| Hospitalist Medicine Physicians Of Indiana-tcg, Llc | |
|
8701 Broadway Merrillville IN 46410-7035 | |
| (219) 738-5500 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Indiana-tcg, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8701 Broadway, Merrillville, Indiana |
| Authorized Official Name and Position | Laura Fall (PAYER ENROLLMENT MANAGER) |
| Authorized Official Contact | 2536826040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Indiana-tcg, Llc 120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 Ph: (253) 682-6040 | Hospitalist Medicine Physicians Of Indiana-tcg, Llc 8701 Broadway Merrillville IN 46410-7035 Ph: (219) 738-5500 |
| NPI Number | 1033697529 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 03/11/2025 |
| Medicare PECOS PAC ID | 2163804840 |
|---|---|
| Medicare Enrollment ID | O20220727001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033697529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ujor Ude Eko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740446863 PECOS PAC ID: 9537210687 Enrollment ID: I20090630000550 |
| Provider Name | Jenee Bhuju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578918108 PECOS PAC ID: 9830432632 Enrollment ID: I20190518000054 |
| Provider Name | Manisha Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316443880 PECOS PAC ID: 3375945314 Enrollment ID: I20210713002105 |
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