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Individual

RAMAKRISHNAN P UNNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 WEST 84TH DR., MERRILLVILLE, IN 46410
(219) 769-8641
(219) 769-2280
Mailing address
400 WEST 84TH DR., MERRILLVILLE, IN 46410
(219) 769-8641
(219) 769-2280

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01026587A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0091108094
BLUE SHIELD OF ILLINOIS
IL
05
100158110A
IN
Enumeration date
11/10/2005
Last updated
09/20/2013
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