Individual
AMIT KAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 FIR ST, STE 320, EAST CHICAGO, IN 46312
(219) 392-7992
(219) 392-7987
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
275238
NY
207RI0011X
Interventional Cardiology Physician
Primary
01085939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300050797
—
IN
Enumeration date
06/05/2008
Last updated
08/30/2021
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