Organization
GREAT LAKES HEALTHCARE SPECIALISTS LLC
Active
Other names
Indiana Ear and Sinus Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHRIDHAR VENTRAPRAGADA M.D. (OWNER)
(219) 836-9368
Entity
Organization
Contact information
Practice address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Mailing address
2211 MAIN ST STE 1A, HIGHLAND, IN 46322-3514
(219) 836-9368
(219) 836-9357
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
01/20/2022
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