Individual
ARVIND KAKODKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 MAIN ST, EAST CHICAGO, IN 46312-2224
(219) 398-3016
Mailing address
PO BOX 3297, EAST CHICAGO, IN 46312-8297
(219) 924-8458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029160A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100158590
—
IN
Enumeration date
07/08/2006
Last updated
09/16/2010
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