Individual
BANTU SAMRIDHI CHHANGANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342
(219) 942-0551
Mailing address
205 OAK TREE CT, PALOS PARK, IL 60464-1978
(708) 408-1101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070080A
IN
207R00000X
Internal Medicine Physician
4301081132
MI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
01070080A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
4301081132
MI
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
4301081132
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114198223
—
MI
Enumeration date
03/17/2008
Last updated
12/04/2019
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