Organization · NPI-2
Indiana Cardiovascular Associates, P.C.
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Munster, IN
NPI number1619007572
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1619007572
- Entity type
- Organization (NPI-2)
- Legal business name
- Indiana Cardiovascular Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 7, 2007
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50003901A | IN | Yes |
| 2086S0129X | 50003901A | IN |
Practice location
931 Fran Lin PkwyMunster, IN 46321-3540
Phone 219-836-4300 · Fax 219-836-0033
Mailing address
931 Fran Lin PkwyMunster, IN 46321-3540
Phone 219-836-4300 · Fax 219-836-0033
Authorized official
Kwang Duck You
President
2198364300
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