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Organization

MEDICAL ASSOCIATES OF NWI LLC

Active
Other names
MANWI, Willowcreek Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAURAV KUMAR MD (OWNER)
(219) 762-4999
Entity
Organization

Contact information

Practice address
3156 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 762-4999
Mailing address
2700 VALPARAISO ST # 2001, VALPARAISO, IN 46383-3123

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065464A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01065464A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01065464A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201030150A
IN
Enumeration date
06/14/2011
Last updated
05/28/2020
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