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Organization

NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC

Active
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Organization

NORTHEAST INTERNAL MEDICINE ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHASHANK NMI KASHYAP M.D. (PRESIDENT/OWNER)
(260) 463-2133
Entity
Organization

Contact information

Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/12/2005
Last updated
09/02/2021
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