Individual
DR. MAN SUBHASIRIWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 934-5300
Mailing address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01018059
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100346680A
—
IN
Enumeration date
05/18/2006
Last updated
11/07/2008
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