Individual provider · NPI-1

Arvind Kakodkar, M.D.

Family Medicine · East Chicago, IN

NPI number1073546776
StatusActive
Last updated in NPPESSep 16, 2010

Details

NPI
1073546776
Entity type
Individual (NPI-1)
Name
Arvind Kakodkar
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 8, 2006
Last updated
Sep 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine01029160AINYes

Practice location

3700 Main St
East Chicago, IN 46312-2224

Phone 219-398-3016

Mailing address

Po Box 3297
East Chicago, IN 46312-8297

Phone 219-924-8458

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