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Organization
NARENDRA H ANADKAT M D P C
Active
Organization
NARENDRA H ANADKAT M D P C
Active
Other names
Wabash Primary Care Assoc PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARISSA LYNN TURNER (PHYSICIAN OFFICE DIRECTOR)
(618) 263-6280
Entity
Organization
Contact information
Practice address
1123 CHESTNUT ST, MOUNT CARMEL, IL 62863-1212
(618) 263-4376
(618) 262-7970
Mailing address
1123 CHESTNUT ST, MOUNT CARMEL, IL 62863-1212
(618) 263-4376
(618) 262-7970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061635
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061635
—
IL
01
—
1215920756
INDIVIDUAL NPI
—
Enumeration date
03/20/2007
Last updated
11/25/2009
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