Individual
SANJEEV RASTOGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 MACARTHUR BLVD, STE 400A, MUNSTER, IN 46321-2915
(219) 931-5227
(219) 932-8455
Mailing address
801 MACARTHUR BLVD, STE 400A, MUNSTER, IN 46321-2915
(219) 931-5227
(219) 932-8455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01051004
IN
207RN0300X
Nephrology Physician
Primary
01051004A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200223300
—
IN
Enumeration date
06/22/2005
Last updated
02/14/2014
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