Organization
NITIN S SARDESAI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN S SARDESAI MD (PRESIDENT)
(219) 836-2055
Entity
Organization
Contact information
Practice address
9307 CALUMET AVE, SUITE D1, MUNSTER, IN 46321-2891
(219) 836-2055
(219) 836-0355
Mailing address
9307 CALUMET AVE, SUITE D1, MUNSTER, IN 46321-2891
(219) 836-2055
(219) 836-0355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01029300
IN
207R00000X
Internal Medicine Physician
01059155A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200740
—
IN
Enumeration date
04/13/2007
Last updated
11/07/2014
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