| Integrated Medicine For Mens Health | |
|
2838 45th St Ste A Highland IN 46322-2905 | |
| (219) 424-1488 | |
| (219) 267-1704 |
| Full Name | Integrated Medicine For Mens Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2838 45th St Ste A, Highland, Indiana |
| Authorized Official Name and Position | Rajat Prakash (PRESIDENT) |
| Authorized Official Contact | 2194241488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medicine For Mens Health 226 Indian Trail Rd Oak Brook IL 60523-2796 Ph: (219) 424-1488 | Integrated Medicine For Mens Health 2838 45th St Ste A Highland IN 46322-2905 Ph: (219) 424-1488 |
| NPI Number | 1205656261 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 01/10/2025 |
| Medicare PECOS PAC ID | 5799219622 |
|---|---|
| Medicare Enrollment ID | O20241114000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205656261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rajat Prakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700872041 PECOS PAC ID: 2769375609 Enrollment ID: I20241114003936 |
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