Individual
MR. KRISHNAKANT RAIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-8106
(219) 836-5774
Mailing address
9038 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321-2905
(219) 836-8106
(219) 836-5774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01042561
IN
207R00000X
Internal Medicine Physician
036097164
IL
207RC0000X
Cardiovascular Disease Physician
Primary
01042561
IN
207RC0000X
Cardiovascular Disease Physician
036097164
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095730
ANTHEM
IN
01
—
110192685
RAILROAD MEDICARE
IN
05
—
200083680
—
IN
01
—
5926543
AETNA
IN
01
—
90001294
BC/BS ILLINOIS
IL
Enumeration date
08/03/2006
Last updated
06/11/2008
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