Individual
DR. SHEILA MOTHKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 WABASH ST STE 101, MICHIGAN CITY, IN 46360-4364
(219) 874-5333
(219) 874-0254
Mailing address
1501 WABASH ST STE 101, MICHIGAN CITY, IN 46360-4364
(219) 874-5333
(219) 874-0254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01037546
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200336540
—
IN
Enumeration date
10/12/2006
Last updated
12/15/2009
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