| Internal Medicine Center Of Northwest Indiana Pc | |
|
3535 Broadway Gary IN 46409-1316 | |
| (219) 884-4900 | |
| (219) 980-7585 |
| Full Name | Internal Medicine Center Of Northwest Indiana Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3535 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Okechi N Nwabara (PRESIDENT) |
| Authorized Official Contact | 2198844900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Center Of Northwest Indiana Pc 3535 Broadway Gary IN 46409-1316 Ph: (219) 884-4900 | Internal Medicine Center Of Northwest Indiana Pc 3535 Broadway Gary IN 46409-1316 Ph: (219) 884-4900 |
| NPI Number | 1649254160 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 06/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649254160 | NPI | - | NPPES |
| 200030490 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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