Organization
KRISHNAKANT RAIKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE K VRANISKOSKI (OFFICE MANAGER)
(219) 836-8106
Entity
Organization
Contact information
Practice address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-8106
(219) 836-5774
Mailing address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-8106
(219) 836-5774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01047569
IN
207Q00000X
Family Medicine Physician
036100077
IL
207R00000X
Internal Medicine Physician
01042561
IN
207R00000X
Internal Medicine Physician
036097164
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01042561
IN
207RC0000X
Cardiovascular Disease Physician
036097164
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200835220A
—
IN
01
—
DF2414
RAILROAD MEDICARE
IN
Enumeration date
08/03/2006
Last updated
06/03/2008
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