Individual
DR. O'DENE HANNIFFE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.,B.S
Contact information
Practice address
500 ARCADE AVE STE 210, ELKHART, IN 46514-2485
(574) 389-5656
(574) 523-7891
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01084475A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD464309
PA
207RP1001X
Pulmonary Disease Physician
Primary
01084475A
IN
207RP1001X
Pulmonary Disease Physician
MD464309
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01084475A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD464309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300042987
—
IN
Enumeration date
06/17/2011
Last updated
03/25/2026
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