Organization
NORTHWEST INDIANA EAR NOSE THROAT & SINUS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRIDHAR VENTRAPRAGADA M.D. (PRESIDENT)
(219) 836-9368
Entity
Organization
Contact information
Practice address
8840 CALUMET AVE, SUITE 204, MUNSTER, IN 46321-2545
(219) 836-9638
Mailing address
9201 CALUMET AVE, MUNSTER, IN 46321-2807
(219) 836-9024
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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