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Individual

NISHENDU BAXI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 W 84TH DR, MERRILLVILLE, IN 46410-6248
(219) 736-1255
(219) 738-1276
Mailing address
PO BOX 10190, 400 W 84TH DR, MERRILLVILLE, IN 46411-0190
(219) 736-1255
(219) 738-1276

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01060538A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
352029220
COMMERCIAL
IN
Enumeration date
08/18/2005
Last updated
03/07/2012
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