Organization
FRANKLIN CLINIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUDHA KORA (OFFICE MANAGER)
(219) 874-3313
Entity
Organization
Contact information
Practice address
3723 FRANKLIN ST, MICHIGAN CITY, IN 46360-7310
(219) 874-3313
Mailing address
3723 FRANKLIN ST, MICHIGAN CITY, IN 46360-7310
(219) 874-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100164580A
—
IN
01
—
91115450
BCBS IL
IN
Enumeration date
10/04/2006
Last updated
06/03/2015
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