Organization
SURGICAL CONSULTANTS INTERNATIONAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEFERINO FARIAS MD (OWNER)
(219) 661-0444
Entity
Organization
Contact information
Practice address
12800 MISSISSIPPI PKWY STE C101, CROWN POINT, IN 46307-6901
(219) 661-0444
(219) 661-8111
Mailing address
PO BOX 846, CROWN POINT, IN 46308-0846
(219) 662-3931
(219) 663-6359
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201213930A
—
IN
01
—
IN1798001
MEDICARE PTAN
IN
Enumeration date
02/07/2014
Last updated
07/21/2022
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