Individual
DR. KOVILPARAMBIL XAVIER ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W 6TH AVENUE, GARY, IN 46402
(219) 885-4264
Mailing address
12028 S VAN BEVEREN DR, ALSIP, IL 60803-1700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01041392A
IN
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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