Kakodkar Family Medical Center
Family Medicine in East Chicago, IN. Organization (NPI-2).
NPI number1770655011
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1770655011
- Entity type
- Organization (NPI-2)
- Legal business name
- Kakodkar Family Medical Center
- Organization subpart
- No
- Enumeration date
- Nov 14, 2006
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3700 Main StEast Chicago, IN 46312-2224
Phone 219-398-3016
Mailing address
Po Box 3297East Chicago, IN 46312-8297
Phone 219-924-8458
Authorized official
Arvind Kakodkar
President
2199248458
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