Individual
DR. ILANA TAMIR KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6301 UNIVERSITY COMMONS STE 210, SOUTH BEND, IN 46635
(574) 234-4016
(574) 239-4607
Mailing address
6301 UNIVERSITY COMMONS STE 210, SOUTH BEND, IN 46635-1590
(574) 234-4016
(574) 239-4607
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01054274A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349210
—
IN
01
—
M40061771
MEDICARE PTAN
IN
Enumeration date
11/04/2005
Last updated
02/12/2019
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