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Organization
CARDIOVASCULAR THORACIC ASSOCIATES OF LAKE COUNTY, P.C.
Active
Organization
CARDIOVASCULAR THORACIC ASSOCIATES OF LAKE COUNTY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JAYAKAR M.D. (PRESIDENT)
(219) 836-2022
Entity
Organization
Contact information
Practice address
4320 FIR ST, SUITE 210, EAST CHICAGO, IN 46312-3052
(219) 228-4776
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-2022
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/14/2006
Last updated
03/18/2008
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