| Ipg Nwi | |
|
3156 Willowcreek Rd Portage IN 46368-4424 | |
| (219) 762-9444 | |
| Not Available |
| Full Name | Ipg Nwi |
|---|---|
| Speciality | Internal Medicine |
| Location | 3156 Willowcreek Rd, Portage, Indiana |
| Authorized Official Name and Position | Gaurav Kumar (OWNER) |
| Authorized Official Contact | 2197629444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipg Nwi 2700 Valparaiso St # 1663 Valparaiso IN 46383-3123 Ph: (219) 762-9444 | Ipg Nwi 3156 Willowcreek Rd Portage IN 46368-4424 Ph: (219) 762-9444 |
| NPI Number | 1841663754 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 4486075959 |
|---|---|
| Medicare Enrollment ID | O20200609002044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841663754 | NPI | - | NPPES |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225219462 PECOS PAC ID: 9638365653 Enrollment ID: I20110629000618 |
| Provider Name | Amanpreet Kaur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972894087 PECOS PAC ID: 7618194200 Enrollment ID: I20180820000026 |
| Provider Name | Kelli Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962108837 PECOS PAC ID: 3274905518 Enrollment ID: I20230214001311 |
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