Individual
GAURAV KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3156 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 762-9444
Mailing address
2700 VALPARAISO ST #2001, # 2001, VALPARAISO, IN 46384-2001
(219) 762-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065464A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01065464A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01065464A
IN
Other
Enumeration date
11/15/2007
Last updated
05/28/2020
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