# EAR, NOSE, THROAT, SINUS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073990867
- **Authorized official:** JATIN RAMESH PATEL DO (PRESIDENT)
- **Authorized official phone:** (219) 836-2000

## Contact information

- **Practice address:** 8840 CALUMET AVE STE 101, MUNSTER, IN 46321-2546
- **Practice address phone:** (219) 836-2000
- **Practice address fax:** (219) 836-8272
- **Mailing address:** 8840 CALUMET AVENUE, SUITE 101, MUNSTER, IN 46321-2546
- **Mailing address phone:** (219) 836-2000
- **Mailing address fax:** (219) 836-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 07/21/2022