Individual
NITIN SARDESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9307 CALUMET AVE, SUITE D1, MUNSTER, IN 46321
(219) 836-2055
(219) 836-0355
Mailing address
9307 CALUMET AVE, SUITE D1, MUNSTER, IN 46321
(219) 836-2055
(219) 836-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01029300
IN
207Q00000X
Family Medicine Physician
Primary
01029300A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200740
—
IN
05
—
100200740A
—
IN
Enumeration date
03/20/2006
Last updated
07/17/2008
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