| Vein Associates Of Northwest Indiana Llc | |
|
1000 E 80th Pl Suite 308s Merrillville IN 46410-5608 | |
| (219) 736-8118 | |
| Not Available |
| Full Name | Vein Associates Of Northwest Indiana Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 E 80th Pl, Merrillville, Indiana |
| Authorized Official Name and Position | Amjad Alkadri (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2197368118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vein Associates Of Northwest Indiana Llc 1000 E 80th Pl Suite 308s Merrillville IN 46410-5608 Ph: (219) 736-8118 | Vein Associates Of Northwest Indiana Llc 1000 E 80th Pl Suite 308s Merrillville IN 46410-5608 Ph: (219) 736-8118 |
| NPI Number | 1801217856 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 04/04/2014 |
| Medicare PECOS PAC ID | 3072744002 |
|---|---|
| Medicare Enrollment ID | O20140314001944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801217856 | NPI | - | NPPES |
| 201206110B | Medicaid | IN | |
| 201206110A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 01052522A (Indiana) | Primary |
| Provider Name | Jeffrey M Huth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265472716 PECOS PAC ID: 0840193207 Enrollment ID: I20040202000094 |
| Provider Name | Amjad Alkadri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407817513 PECOS PAC ID: 8123921590 Enrollment ID: I20040202000164 |
| Provider Name | Steven L Hossler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124002746 PECOS PAC ID: 1254307937 Enrollment ID: I20040903000314 |
| Provider Name | Vivek Mishra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255356085 PECOS PAC ID: 5991789190 Enrollment ID: I20050614001335 |
| Provider Name | Divyesh G Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821137563 PECOS PAC ID: 2264466770 Enrollment ID: I20070709000497 |
| Provider Name | Omar Barakat |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114190782 PECOS PAC ID: 2567690332 Enrollment ID: I20150112001685 |
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