Midwest Medical Services Llc | |
802 E Us Highway 20 Michigan City IN 46360-7424 | |
(219) 872-7251 | |
Not Available |
Full Name | Midwest Medical Services Llc |
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Speciality | Internal Medicine |
Location | 802 E Us Highway 20, Michigan City, Indiana |
Authorized Official Name and Position | Sanjay V Raikar (PARTNER) |
Authorized Official Contact | 7737279625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Medical Services Llc 10241 Margo Ln Munster IN 46321-9181 Ph: (773) 727-9625 | Midwest Medical Services Llc 802 E Us Highway 20 Michigan City IN 46360-7424 Ph: (219) 872-7251 |
NPI Number | 1972064327 |
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Provider Enumeration Date | 03/28/2019 |
Last Update Date | 03/28/2019 |
Medicare PECOS PAC ID | 5991047680 |
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Medicare Enrollment ID | O20190429002538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972064327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Sanjay V Raikar |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1780990283 PECOS PAC ID: 7810011616 Enrollment ID: I20100831000801 |
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